Individual provider · Type 1 NPI

Richard Takeshi Takasugi

Student in an Organized Health Care Education/Training Program · San Mateo, CA

NPI number 1861317588 Active

Practice location

2015 Pioneer Ct
San Mateo, CA 94403-1781

Call (408) 647-6364 Map

Mailing address

1115 Mission Rd
South San Francisco, CA 94080-1302

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1861317588

Richard Takeshi Takasugi's National Provider Identifier is 1861317588, issued on Aug 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Mateo, CA. The record was last updated on Oct 22, 2026.