KEMERICK TAKANG NPI 1588284251

NPI Information

  • NPI: 1588284251
  • Provider Name: KEMERICK TAKANG
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5493 STONEVIEW RD
    RANCHO CUCAMONGA, CA
    ZIP 91739
  • Phone: (310) 946-5578

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NPI Details

Kemerick Takang is a psychiatric/mental health nurse practitioner in Rancho Cucamonga, CA with 4 years of experience. Kemerick Takang NPI is 1588284251. 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:

5493 STONEVIEW RD
RANCHO CUCAMONGA, CA
ZIP 91739-933
Phone: (310) 946-5578
Fax: (949) 695-3678

The NPI 1588284251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 11/12/2024.

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
1163W00000XRegistered Nurse95123976CALIFORNIANo
2363L00000XNurse Practitioner95022830CALIFORNIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95123976CALIFORNIAYes

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: 11/21/2025

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