Individual provider Active NPI

Thomas J Takash, M.D.

  • Anesthesiology Physician
  • Pasadena, CA
National Provider Identifier
1871577890
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G64633 Issued in CA
Practice address
1035 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2699
Phone
(310) 329-2469
Fax
(310) 329-0176
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G64633 CA Primary

Addresses

Primary practice location

1035 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2699

Mailing address

PO Box 5333
Torrance, CA 90510-5333
Phone (310) 329-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040204001006 CA Practitioner - Anesthesiology 1658264569 Reassigns benefits to 4 organizations
I20221025002204 CA Practitioner - Anesthesiology 1658264569 Reassigns benefits to 3 organizations
Practice locations: Chino, CA; Torrance, CA; Redding, CA; Ontario, CA; Azusa, CA; Pomona, CA
I20240404000655 AZ Practitioner - Anesthesiology 1658264569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Torrance Anesthesia Medical Group Inc. Anesthesiology CurrentSince Jan 17, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Relevo Health PC Anesthesiology CurrentSince Oct 16, 2023 Accepting new patients
Relevo Health PC Anesthesiology CurrentSince Oct 16, 2023 Accepting new patients
Stellar Surgical Specialties, Inc. Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

25751 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-1315

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1871577890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5333",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905105333",
            "telephone_number": "310-329-2469",
            "fax_number": "310-329-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052699",
            "telephone_number": "310-329-2469",
            "fax_number": "310-329-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKASH",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G64633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.