Doctor profile · Federal record
Dr. Takara Dickson, Physician Assistant
Medical Physician Assistant (CMS: Physician Assistant) · Physician Assistant · Student in an Organized Health Care Education/Training Program · Fairfield, CA
- NPI 1184249146
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1860 Pennsylvania Ave Ca, Ste 110
Fairfield, CA 945333550
(707) 646-4414 - Additional location
-
375 S Chipeta Way
Salt Lake City, UT 841081260
(801) 585-0187
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- January 25, 2023
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (2)
- California #PA60134 · California #60134
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184249146. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
124
Distinct HCPCS
2
Medicare allowed
$9,444
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 85 | 54 | $86 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 39 | 21 | $55 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 394. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$121
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BIOTISSUE HOLDINGS INC. | 2 | $50.00 | |
| Janssen Pharmaceuticals, Inc | 2 | $29.35 | |
| Amgen Inc. | 1 | $23.68 | |
| SCPHARMACEUTICALS INC. | 1 | $17.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
0
Total drug cost
$264
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 15 | 0 | $264 |
Hospital affiliations
Frequently asked questions
What is Dr. Takara Dickson's medical specialty?
Dr. Takara Dickson practices Medical Physician Assistant in Fairfield, CA.
Where does Dr. Takara Dickson practice?
Dr. Takara Dickson practices at 1860 Pennsylvania Ave Ca, Fairfield, CA 945333550. Office phone: 7076464414.
What is Dr. Takara Dickson's NPI?
Dr. Takara Dickson's National Provider Identifier (NPI) is 1184249146, issued by NPPES.
Does Dr. Takara Dickson accept Medicare assignment?
Yes. Dr. Takara Dickson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Takara Dickson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.