Individual provider Active NPI

Takeshia Campbell Niday, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1932429289
Registry record updated Jan 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A113548 Issued in CA
Practice address
2760 Fifth Ave
Suite 205
San Diego, CA 92103-6325
Phone
(619) 500-6566
Fax
(619) 374-2982
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A113548 CA Primary

Addresses

Primary practice location

2760 Fifth Ave
Suite 205
San Diego, CA 92103-6325

Mailing address

2760 Fifth Ave
Suite 205
San Diego, CA 92103-6325
Phone (619) 500-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000635 CA Practitioner - Psychiatry 4486831898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Health Systems LPGroup PAC ID 7911901392, 16 clinicians

Practice addresses (Care Compare)

610 Euclid Ave
Suite 200
National City, CA 91950-2951
Phone (619) 267-9257

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.04 of 100Reported as group
Quality
10
Improvement activities
40
Cost
50.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113548CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Health Systems, L.P. Psychiatry CurrentSince Mar 1, 2014 Accepting new patients
Advanced TMS Clinic Inc Psychiatry PastSince May 24, 2020 Accepting new patients

Locations

7200 Parkway Dr
Ste 113
La Mesa, CA 91942
Phone (619) 337-0455

1908 Sweetwater Rd
National City, CA 91950
Phone (619) 327-0146

610 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 267-9257

2345 E 8th St
Ste 111
National City, CA 91950
Phone (619) 267-9257

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pvh-tniday@primehealthcare.direct-ci.com

Organizations & group practices 2

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 3

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389398400000",
    "number": "1932429289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 FIFTH AVE",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036325",
            "telephone_number": "619-500-6566",
            "fax_number": "619-374-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 FIFTH AVE",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036325",
            "telephone_number": "619-500-6566",
            "fax_number": "619-374-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDAY",
        "first_name": "TAKESHIA",
        "middle_name": "CAMPBELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2014-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A113548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.