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

Sam Shota Takahashi, DO

Individual provider Anesthesiology Physician · NPI 1053871665

Sam Shota Takahashi, DO is an Anesthesiology in San Diego, California. Qualified in 2019, 7 years ago. Practices with Anesthesia Service Medical Group, a 237-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3626 Ruffin Rd
San Diego, CA 92123-1810
Phone: (858) 565-9666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 20A20569 (CA)

Record details

NPI number1053871665
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Anesthesia Service Medical Group — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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