Mimi Tara Takigawa, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003325 Issued in CA

Practice address

1736 W Chateau Ave
Anaheim, CA 92804-4504

Phone

(714) 310-7115

NPI assigned

Dec 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mimi.takigawanp.p13@direct.pca.nextgenshare.com

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.

• Reuben C Castillo, Professional Corporation

  • General Practice Physician
  • Perris, CA
  • NPI 1942429188
  NPD (past)
• Senior's Choice Medical Group, Inc.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1023506672
  NPD (past)

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1881069664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 W CHATEAU AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 W CHATEAU AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044504",
            "telephone_number": "714-310-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKIGAWA",
        "first_name": "MIMI",
        "middle_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-05",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahmina Haq MD
• Maya Taifour, DDS
• Ali Reza Tajik, M.D.
• Alice Tak
• Katherine K Takaki, O.D.
• Baylee Lynn Talbot
• Reza Talebi Dolouei, M.D.
• Talkways, a Speech-Language Pathology P.C.
• Stacy Talley
• Tam-Nguyen T Pham MD Inc

• Family Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.