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Contact Information

ALAN T AKITA, DNP, FNP-BC
250 S G ST
SAN BERNARDINO, CA92410-3320
 Phone: 909-382-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ALAN T AKITA · (Male)

NPI Number 1245926849
Status Active
Credentials DNP, FNP-BC
Entity Individual
Enumeration date 04/17/2023
Last updated 03/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95030863
  • CA License # 95157313
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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