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 provides Pain Medicine (Anesthesiology) Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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