Dr. Greg Steven Takenishi
Sports Medicine Orthopaedic Surgeon
4601 Dale Rd
Modesto
, California 95356-9718
Dr. Greg Steven Takenishi
Sports Medicine Orthopaedic Surgeon
4601 Dale Rd
Modesto
, California 95356-9718
(209) 735-5000
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Greg Steven Takenishi
- 4601 Dale Rd
- Modesto, CA
- Zip : 95356-9718
- Phone : (209) 735-5000
Second Address
- Dr. Greg Steven Takenishi
- 4601 Dale Rd
- Modesto, CA
- Zip : 95356-9718
- Phone : (209) 735-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A110367 | CA |
National Provider Identifier
| NPI | 1992999817 |
|---|---|
| Provider Name | Dr. Greg Steven Takenishi |
| First Address | Modesto, CA 95356-9718 |
| Second Address | Modesto, CA 95356-9718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2007 |
| Last Update Date | 11/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.