Individual provider Active NPI

Christian Mario Takayama, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1992968648
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A111163 Issued in CA
Practice address
1520 San Pablo St Ste 1300
Los Angeles, CA 90033-5312
Phone
(323) 442-5900
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A111163 CA Primary

Addresses

Primary practice location

1520 San Pablo St Ste 1300
Los Angeles, CA 90033-5312

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5900

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
I20120523000701 CA Practitioner - Family Practice 9133382492 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apla Health & Wellness CurrentSince Jan 25, 2016 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2017 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2017 Accepting new patients
Usc Care Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Apla Health & Wellness CurrentSince Jan 25, 2016 Accepting new patients
Usc Care Medical Group, Inc Family Medicine CurrentSince May 1, 2025 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3743 S La Brea Ave
Los Angeles, CA 90016
Phone (323) 329-9900

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1400 S Grand Ave
Ste 801
Los Angeles, CA 90015
Phone (213) 741-5271

5901 W Olympic Blvd
Ste 310
Los Angeles, CA 90036
Phone (323) 215-1725

611 S Kingsley Dr
Los Angeles, CA 90005
Phone (213) 201-1600

1520 San Pablo St
Ste 1300
Los Angeles, CA 90033
Phone (323) 442-5900

3741 S La Brea Ave
Los Angeles, CA 90016
Phone (323) 329-9010

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1992968648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST STE 1300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335312",
            "telephone_number": "323-442-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAYAMA",
        "first_name": "CHRISTIAN",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A111163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.