Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Takayama 90 Med PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1477976546

Takayama 90 Med PLLC is a Pain Medicine (Anesthesiology) Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14848 N 15th Dr
Phoenix, AZ 85023-5181
Phone: (214) 615-5168
Fax: (888) 526-9542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 41788 (AZ)

Record details

NPI number1477976546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Gross — Vp Of Revenue Cycle · (214) 615-5168
NPI enumeratedJanuary 27, 2014
Last updated in NPPESJanuary 27, 2014
Mailing addressPo Box 3837, Carol Stream, IL 60132-3837

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