NPI 1013593466
Jack Ryan Takahashi, MD
Practice location
- Address
- 975 Sereno Dr # 218, Vallejo, CA 94589-2441
- Phone
- (707) 651-1000
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1013593466
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Mar 2021
- Record last updated
- 26 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.