FERN S. TAKEMOTO M.D. NPI 1437260825

NPI Information

NPI: 1437260825
Provider Name: FERN S. TAKEMOTO, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
6555 COYLE AVE
CARMICHAEL, CA
ZIP 95608
Phone: (916) 733-3333
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Fern S. Takemoto, M.D. is a pediatrics in Carmichael, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Fern S. Takemoto, M.D. NPI is 1437260825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6555 COYLE AVE
CARMICHAEL, CA
ZIP 95608-302
Phone: (916) 733-3333

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		G71709	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18634	OTHER	CALIFORNIA	INTERPLAN
2	1268025	OTHER	CALIFORNIA	UNITED HEALTHCARE
3	00G717090	MEDICAID	CALIFORNIA
4	016914	OTHER	CALIFORNIA	HEALTH NET
5	E02317	MEDICARE UPIN
6	90026157	OTHER	CALIFORNIA	PACIFICARE
7	4509750	OTHER	CALIFORNIA	AETNA
8	3822049	OTHER	CALIFORNIA	CIGNA
9	G71709	OTHER	CALIFORNIA	BLUE CROSS
10	MCMG126500	OTHER	CALIFORNIA	WESTERN HEALTH ADVANTAGE
11	00G717091	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
12	1089896	OTHER	CALIFORNIA	GREAT WEST
13	000810342982	OTHER	CALIFORNIA	PHCS
14	1062717	OTHER	CALIFORNIA	FIRST HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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