TAKAHIRO OTSUKA (NPI# 1790895803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790895803 |
| Entity Type | Individual |
| Full Name | TAKAHIRO OTSUKA |
| Credential | MD |
| Practice Address |
11370 Anderson St Suite 3400 Loma Linda CA 92354-3450 |
| Mailing Address |
File Number 54701 Los Angeles CA 90074-0001 |
| Practice Telephone | 9095582870 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A55960 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A559600 | 05 |
| Street Address |
11370 ANDERSON ST SUITE 3400 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310860 | Nerida T Bates | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2005-10-14 |
| 1922520709 | Jodi Datema | Speech-Language Pathologist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2017-07-12 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1356710875 | Jody Michelle Gonzalez | Pharmacist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-09-15 |
| 1558749382 | Stephanie Laroche Fegale | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-05-13 |
| 1033597018 | Craig Antone White | Ophthalmology | 11370 Anderson St, Loma Linda, CA 92354 | 2015-05-11 |
| 1104246016 | Juthamas Kositsawat | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354 | 2014-04-17 |
| 1972941037 | Allie Ann Maus | Audiologist | 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | 2013-06-11 |
| 1578908240 | Anh Nguyen Do | Dentist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2013-05-07 |
| 1376803288 | Philip David Eaton | Radiology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467698001 | Matheni Sathananthan | Internal Medicine | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2009-01-04 |
| 1821295247 | Silvana Marisa Giannelli | Internal Medicine | 11370 Anderson St Ste 3400, Loma Linda, CA 92354 | 2007-06-29 |
| 1487860896 | Olha Fomenko | Internal Medicine | Va Medical Center 11201 Benton St, Loma Linda, CA 92357-0001 | 2007-05-15 |
| 1902902042 | Scott W Lee | Internal Medicine | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2006-09-16 |
| 1881790111 | J. Lamont Murdoch | Internal Medicine | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2006-09-15 |
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| 1710590450 | Napa Valley Internal Medicine | Internal Medicine | 999 Adams St Ste 201, Saint Helena, CA 94574-1149 | 2020-08-24 |
| 1821612565 | Almoutaz Bellah Shakally Md, Inc | Internal Medicine | 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 | 2020-05-28 |
| 1366061863 | Karen L. Herbst, Md, PC | Internal Medicine | 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 | 2020-04-14 |
| 1619502572 | Pacific Endocrinology | Internal Medicine | 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 | 2020-03-11 |
| 1659910743 | Robert Alan Rubin | Internal Medicine | 403 Paseo Miramar, Redondo Beach, CA 90277-6288 | 2020-01-06 |
| 1336790914 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 | 2019-09-24 |
| 1124585393 | Steady Health Inc | Internal Medicine | 100 Bush St Ste 1600, San Francisco, CA 94104-3918 | 2019-02-25 |
| 1780140673 | Jennifer Anne Nuovo | Internal Medicine | 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 | 2019-02-15 |
| 1407324379 | Chrysalis Health of California | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-11-08 |
| 1881172864 | Todd Lorenz | Internal Medicine | 5 Robert Rd, Orinda, CA 94563-3215 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.