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MR. LLOYD HEISABURO TAKAO M.D.
NPI 1619070273
Pediatrics in Orinda, CA

Active since September 07, 2006PECOS EnrolledCLIA 05D2125057 · Waiver
15 ALTARINDA ROAD, SUITE 100, ORINDA, CA 94563(925) 253-1199(925) 253-1110 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Lloyd Heisaburo Takao M.d. NPPES

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

MR. LLOYD HEISABURO TAKAO M.D. (NPI 1619070273) is an individual pediatrics provider in Orinda, California, licensed in California (G29936) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 30, 2027, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1619070273
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. LLOYD HEISABURO TAKAOCredential: M.D.
Location Address15 ALTARINDA ROAD, SUITE 100Orinda, CA 94563
Mailing Address15 Altarinda Road, Suite 100Orinda, CA 94563 · (925) 253-1199 · Fax (925) 253-1110
Phone(925) 253-1199
Fax(925) 253-1110
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 30, 2013
✔ NPI 1619070273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G29936
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15 ALTARINDA ROAD, Orinda, CA 94563
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lloyd Heisaburo Takao M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446726426
PECOS Enrollment IDI20260416003873
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.

Medicare Billing Reassignment

Medicare enrollment records show Lloyd Takao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jiva Health, Inc
11 mi
Internal Medicine
3330 CLAYTON RD STE A
Concord, CA 94519
  • Reassigned Medicare billing, California enrollment
  • 66 clinicians in this Medicare group
NPI 1285223552 (925) 685-4224

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2125057

Lloyd H Takao, MD · Orinda, CA
Active · expires Jan 30, 2027
CLIA Number05D2125057
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorLloyd H Takao, MD
Laboratory Phone(925) 253-1199
Laboratory LocationLloyd H Takao, MD15 Altarinda Rd Ste #100, Orinda, CA 94563
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

NEAL E WELLS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
15 ALTARINDA ROAD, #104
ORINDA, CA 94563
Contra Costa County (925) 254-4568

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 Lloyd Takao's NPI number?

The NPI number for Lloyd Takao is 1619070273. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Lloyd Takao located?

Lloyd Takao practices at 15 Altarinda Road Suite 100, Orinda, CA 94563. The listed phone number is (925) 253-1199.

What is Lloyd Takao's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lloyd Takao enrolled in Medicare?

Yes. Lloyd Takao is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lloyd Takao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lloyd Takao reassigns Medicare benefits to Jiva Health, Inc (Concord, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lloyd Takao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Lloyd Takao hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2125057) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lloyd Takao was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.