MARK TAKEDA (NPI# 1265894794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265894794 |
| Entity Type | Individual |
| Full Name | MARK TAKEDA |
| Practice Address |
290 N Wayte Ln Ste 2500 Fresno CA 93701-2124 |
| Practice Telephone | 5594595725 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
290 N WAYTE LN STE 2500 |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255793089 | Adrina Celeste Gulian | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2016-03-22 |
| 1306468368 | Dean Bartlett | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2020-05-13 |
| 1790307023 | Shirleen Esnil Castro | Dentist | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2020-05-08 |
| 1104447812 | Cambria Cunningham | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2020-05-04 |
| 1801417753 | Ashtin Nichole Alves | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2020-05-01 |
| 1679193817 | Oskar Hanes Peikar | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2020-04-17 |
| 1265051528 | Ariana Malek | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2020-04-15 |
| 1629635263 | Amanjyot Kaur Bains | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2019-05-20 |
| 1922591239 | Tiffany Lin | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2018-06-11 |
| 1740773423 | Jason R Gong | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln Ste 2500, Fresno, CA 93701-2124 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526672 | Chandni T Patel | Student in an Organized Health Care Education/Training Program | 9715 N Willey Ct, Fresno, CA 93720-5418 | 2020-07-29 |
| 1649892514 | Jasdeep Brar | Student in an Organized Health Care Education/Training Program | 4409 E Inyo St. Unit A, Fresno, CA 93702-2977 | 2020-05-13 |
| 1396364048 | Dessere Givertz | Student in an Organized Health Care Education/Training Program | 10155 N Edgewood Dr, Fresno, CA 93720-3423 | 2020-04-13 |
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1669001632 | Hunza Chaudhry | Student in an Organized Health Care Education/Training Program | 155 N Fresno St Ste 307, Fresno, CA 93701-2302 | 2020-04-02 |
| 1720616345 | Veronica Moffitt | Student in an Organized Health Care Education/Training Program | 6536 N Wheeler Ave, Fresno, CA 93722-3007 | 2020-03-30 |
| 1225682701 | Mariah Isabel Negrete | Student in an Organized Health Care Education/Training Program | 5503 W Pinedale Ave, Fresno, CA 93722-2348 | 2019-08-01 |
| 1174184543 | Keschia Matthews | Student in an Organized Health Care Education/Training Program | 2118 Beacon Light Ln, Fresno, TX 77545-7089 | 2019-06-25 |
| 1710545884 | Tanica Eboni Washington | Student in an Organized Health Care Education/Training Program | 4151 N Blythe Ave Apt 132, Fresno, CA 93722-6376 | 2019-06-03 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MARK TAKEDA.
| 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.