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TAKARA DICKSON PHYSICIAN ASSISTANT
NPI 1184249146
Physician Assistant - Medical in Fairfield, CA

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
1860 PENNSYLVANIA AVE CA, STE 110, FAIRFIELD, CA 94533(707) 646-4414 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2023, Jun 15, 2020 (2 updates tracked since 2020).

About Takara Dickson Physician Assistant NPPES

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

TAKARA DICKSON PHYSICIAN ASSISTANT (NPI 1184249146) is an individual medical provider in Fairfield, California, licensed in California (PA60134) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of University Of Utah School Of Medicine (2021).

NPPES Registry Identity

NPI1184249146
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTAKARA DICKSONCredential: PHYSICIAN ASSISTANT
Location Address1860 PENNSYLVANIA AVE CA, STE 110Fairfield, CA 94533-3550
Mailing Address1860 Pennsylvania Ave Ca, Ste 110Fairfield, CA 94533-3550 · (707) 646-4414
Phone(707) 646-4414
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2021
Enumeration DateJune 15, 2020
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1184249146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA60134
Also ListedPhysician AssistantTaxonomy 363A00000X · License 60134 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1860 PENNSYLVANIA AVE CA, Fairfield, CA 94533
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Other Names 1

Former Name (1)Takara Ragland Physician Assistant

Secondary Practice Location 1

Location 1375 S Chipeta WaySalt Lake City, UT 84108-1260 · Phone (801) 585-0187

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

Takara Dickson Physician Assistant 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 ID5092113340
PECOS Enrollment IDI20211018001430
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients

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 Takara Dickson's NPI number?

The NPI number for Takara Dickson is 1184249146. It was assigned to this individual provider in the NPPES registry on June 15, 2020. The provider is also known as Takara Ragland Physician Assistant.

Where is Takara Dickson located?

Takara Dickson practices at 1860 Pennsylvania Ave Ca Ste 110, Fairfield, CA 94533. The listed phone number is (707) 646-4414.

What is Takara Dickson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Takara Dickson enrolled in Medicare?

Yes. Takara Dickson 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 Takara Dickson was last updated on January 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.