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