MIMI T AKABA


Address: 4050 Dublin Blvd, Dublin, CA 94568-3112
Phone: 9258756100

MIMI T AKABA (NPI# 1851472021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851472021
Entity Type Individual
Full Name MIMI T AKABA
Credential FNP
Practice Address 4050 Dublin Blvd
Dublin
CA 94568-3112
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 9258756100
Mailing Telephone 9258756100
Enumeration Date 2006-10-17
Last Update Date 2020-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner NP13613 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
39500 Liberty Street, Tri City Health Center, Fremont, CA 94538 5707708133 5707708140

Office Location

Street Address 4050 DUBLIN BLVD
City DUBLIN
State CA
Zip Code 94568-3112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780680546 Yatin Shah Pediatrics 4050 Dublin Blvd, Dublin, CA 94568-3112 2005-06-24
1093206864 Minal Doshi Social Worker 4050 Dublin Blvd, Dublin, CA 94568 2018-05-28
1467949289 Anastasiya Pereverzeva Audiologist 4050 Dublin Blvd, Dublin, CA 94568-3112 2018-04-17
1508399528 Vishan Dinesh Dhamsania Pediatrics 4050 Dublin Blvd, Dublin, CA 94568-3112 2017-04-06
1568995686 Kelly Moruza Family Medicine 4050 Dublin Blvd, Dublin, CA 94568-3112 2017-04-05
1558894667 Steve Zhang Family Medicine 4050 Dublin Blvd, Dublin, CA 94568-3112 2017-04-05
1417489840 Jayasree Padma Sundaram Internal Medicine 4050 Dublin Blvd, Dublin, CA 94568-3112 2017-04-03
1396199550 Sana Ali Family Medicine 4050 Dublin Blvd, Dublin, CA 94568 2016-04-14
1255794970 Ryan Lin Pediatrics 4050 Dublin Blvd, Dublin, CA 94568-3112 2016-03-30
1558743575 Cheryl Marie Dronkers Registered Nurse 4050 Dublin Blvd, Pediatrics, Dublin, CA 94568-3112 2015-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242224 Lisa Marie Casey Case Manager/Care Coordinator 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 2020-07-06
1669029187 Orlando Jesus Olivera Behavior Technician 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 2019-08-20
1225682867 Tiana K St Jean Behavior Technician 4228 Loyalton Rd, Dublin, CA 94568 2019-08-01
1205398005 Shawna Marie Green Behavior Technician 7565 Amador Valley Blvd, 109, Dublin, CA 94568 2019-04-02
1235613779 Zachery Joseph Lupton Assistant Behavior Analyst 5601 Arnold Rd. Suite 102, Dublin, CA 94568 2018-09-20
1235629361 Anthony John E. Castanares Optometrist 7763 Squirrel Creek Cir, Dublin, CA 94568 2018-05-15
1134637697 Justin Yun Physical Therapist 3100 Dublin Medical Offices, Dublin, CA 94568 2018-01-18
1558880062 Yanxia Li Nurse Practitioner 3198 Madden Way, Dublin, CA 94568 2017-09-15
1619407368 Lzl Health Center Acupuncturist 7241 Regional St, Dublin, CA 94568 2017-06-15
1578010120 Yang Yang Technician, Other 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 2016-09-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972100287 Emily Ann Harper Nurse Practitioner 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 2020-10-08
1417518598 Rachel Fetrow Nurse Practitioner 7219 Sawmill Rd Ste 105c, Dublin, OH 43016-5002 2019-06-27
1669976205 Mary Cox Nurse Practitioner 108 Baker Rd, Dublin, VA 24084-3327 2018-03-20
1942710652 Jamie Weaver Nurse Practitioner 6810 Perimeter Dr Ste 200a, Dublin, OH 43016-8013 2017-10-08
1467904763 Monica Guyton Nurse Practitioner 721 Blackshear Ferry Rd W, Dublin, GA 31021-0374 2016-11-03
1891169348 Candace Conley Nurse Practitioner 6705 Avery Muirfield Dr., Suite 1a, Dublin, OH 43017 2015-11-20
1962811554 Rebecca Ferrell Green Nurse Practitioner 5275 Alexander Rd Ste A, Dublin, VA 24084-3657 2014-08-07
1295031458 Stephanie Rae Rhodebeck Nurse Practitioner 425 Metro Place Ste 195, Dublin, OH 43017 2011-02-07
1710107792 Lydia Lai-wa Wu Nurse Practitioner 506 Brookwood Dr, Apt. # Q6, Dublin, GA 31021-4917 2007-05-01
1457433583 Np Care of Ohio, LLC Nurse Practitioner 5650 Blazer Pkwy, Suite 100, Dublin, OH 43017-3562 2006-10-19
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Competitor

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City DUBLIN
Zip Code 94568

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Dataset Information

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.

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