DR. KEN TAKESITA (NPI# 1629243837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629243837 |
| Entity Type | Individual |
| Full Name | DR. KEN TAKESITA |
| Credential | M.D. |
| Practice Address |
4500 Brockton Ave Ste 301 Riverside CA 92501-4027 |
| Practice Telephone | 9512764505 |
| Mailing Telephone | 6263961105 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A84860 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4500 BROCKTON AVE STE 301 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104152149 | Brandon Garret Louie | Urology | 4244 Riverwalk Pkwy Ste 240, Riverside, CA 92505-3372 | 2009-10-27 |
| 1912116989 | Howard A Aubert | Urology | 7117 Brockton Ave Fl 2, Riverside, CA 92506-2658 | 2007-05-22 |
| 1093055170 | Alpha Urology Group, Inc. | Urology | 4244 Riverwalk Pkwy, Suite 240, Riverside, CA 92505-8509 | 2013-02-26 |
| 1265751697 | Anthony J Park | Urology | 10800 Magnolia Ave, Mob 2, 2nd Floor, Riverside, CA 92505-3043 | 2010-05-25 |
| 1215267307 | Aravind Chandrashekar | Urology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2010-01-12 |
| 1598910457 | Urologic Specialists of New England, LLC | Urology | 250 Wampanoag Trl, Suite 203, Riverside, RI 02915-2218 | 2008-11-19 |
| 1235356999 | Benjamin Kattle Yang | Urology | 7117 Brockton Ave., Riverside, CA 92506-3912 | 2007-04-20 |
| 1669597175 | Gaurang S Shah | Urology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-03-21 |
| 1427186881 | Timothy John Pietro | Urology | 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 | 2007-02-28 |
| 1619036290 | Joseph I. Sardina | Urology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| Find all providers in RIVERSIDE | ||||
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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.