Individual provider · Type 1 NPI

Carly Akemi Takata

Physician Assistant · Santa Ana, CA

NPI number 1013768217 Active

Practice location

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8744

Mailing address

2603 Bayport Dr
Torrance, CA 90503-8923

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA64869 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013768217

Carly Akemi Takata's National Provider Identifier is 1013768217, issued on Mar 27, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 15, 2025.