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DR. JASON TAKEUCHI M.D.
NPI 1265593602
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Mateo, CA

Active since December 12, 2006Opted out of Medicare · through Feb 7, 2028
1650 BOREL PL STE 208, SAN MATEO, CA 94402(650) 348-4900(650) 375-2621 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jason Takeuchi M.d. NPPES

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

DR. JASON TAKEUCHI M.D. (NPI 1265593602) is an individual child & adolescent psychiatry provider in San Mateo, California, licensed in California (A55240) and active in the NPI registry since December 2006. He has opted out of Medicare through February 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265593602
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JASON TAKEUCHICredential: M.D.
Location Address1650 BOREL PL STE 208San Mateo, CA 94402-3508
Mailing Address1650 Borel Pl Ste 208San Mateo, CA 94402-3508 · (650) 348-4900 · Fax (650) 375-2621
Phone(650) 348-4900
Fax(650) 375-2621
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1265593602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A55240
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1650 BOREL PL STE 208, San Mateo, CA 94402
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jason Takeuchi M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 7, 2016 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2016
Opt-Out In Effect ThroughFebruary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jason Takeuchi's NPI number?

The NPI number for Jason Takeuchi is 1265593602. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jason Takeuchi located?

Jason Takeuchi practices at 1650 Borel Pl Ste 208, San Mateo, CA 94402. The listed phone number is (650) 348-4900.

What is Jason Takeuchi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jason Takeuchi enrolled in Medicare?

No. Jason Takeuchi has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jason Takeuchi was last updated on November 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.