JACK RYAN TAKAHASHI MD
NPI 1013593466
Physical Medicine & Rehabilitation in Vallejo, CA

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
975 SERENO DR # 218, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Ryan Takahashi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK RYAN TAKAHASHI MD (NPI 1013593466) is an individual physical medicine & rehabilitation provider in Vallejo, California, licensed in California (A182209) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2021).

NPPES Registry Identity

NPI1013593466
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameJACK RYAN TAKAHASHICredential: MD
Location Address975 SERENO DR # 218Vallejo, CA 94589-2441
Mailing Address975 Sereno Dr # 218Vallejo, CA 94589-2441 · (707) 651-1000
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1013593466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · A182209
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
975 SERENO DR # 218, Vallejo, CA 94589

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jack Ryan Takahashi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062918451
PECOS Enrollment IDI20251003002579
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Takahashi's NPI number?

The NPI number for Jack Takahashi is 1013593466. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jack Takahashi located?

Jack Takahashi practices at 975 Sereno Dr # 218, Vallejo, CA 94589. The listed phone number is (707) 651-1000.

What is Jack Takahashi's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Jack Takahashi enrolled in Medicare?

Yes. Jack Takahashi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Takahashi was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.