ARISA MOTOTAKE
NPI 1053949933
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
1400 FLORIDA AVE STE 200, MODESTO, CA 95350(209) 576-3528 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arisa Mototake NPPES

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

ARISA MOTOTAKE (NPI 1053949933) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2020).

NPPES Registry Identity

NPI1053949933
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameARISA MOTOTAKE
Location Address1400 FLORIDA AVE STE 200Modesto, CA 95350-4445
Mailing Address1400 Florida Ave Ste 200Modesto, CA 95350-4445
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2020
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
NPI 1053949933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 FLORIDA AVE STE 200, Modesto, CA 95350

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

Arisa Mototake 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 ID2567810948
PECOS Enrollment IDI20231122003465
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 200
MODESTO, CA 95350
Family Medicine
1400 FLORIDA AVE STE 200
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 200
MODESTO, CA 95350

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 Arisa Mototake's NPI number?

The NPI number for Arisa Mototake is 1053949933. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Arisa Mototake located?

Arisa Mototake practices at 1400 Florida Ave Ste 200, Modesto, CA 95350. The listed phone number is (209) 576-3528.

What is Arisa Mototake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Arisa Mototake enrolled in Medicare?

Yes. Arisa Mototake 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 Arisa Mototake was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.