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

Amanda Takke, PA-C

Individual provider Physician Assistant · NPI 1073240925

Amanda Takke, PA-C is a Physician Assistant in Modesto, California. Licensed in California and Utah. Registered with an NPI since 2022.

Licensed in
CA, UT
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1524 McHenry Ave Ste 135
Modesto, CA 95350-4569
Phone: (209) 575-5801
Fax: (209) 575-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62025 (CA)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 13136356-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073240925
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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