Randy Stuck

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT295374 Issued in CA

Practice address

12501 Seal Beach Blvd Ste 210
Seal Beach, CA 90740-2755

Phone

(562) 493-8800

NPI assigned

Aug 28, 2018

Last updated

Oct 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoag Clinic

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1942799523
  NPD
• California State University Long Beach

  dba PT@TheBeach

  • Physical Therapist
  • Long Beach, CA
  • NPI 1861824518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1184105983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 REGNER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191941",
            "telephone_number": "619-708-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD STE 210",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402755",
            "telephone_number": "562-493-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Bellflower Blvd",
            "address_2": "KIN-105",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90840",
            "country_code": "US",
            "telephone_number": "562-985-8286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCK",
        "first_name": "RANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Pathology Med Corp (Sterling Pathology Natl Labs)
• Sterling Pathology Medical Corporation (Sterling Pathology Natl Labs)
• Jill Ann Sterling-Erman, LMFT 34271
• Steven E. Gammer, M.D., Inc.
• Riley J Stuart, LMFT, LEP
• Jennifer Lane Styzens, BCBA
• Mustafa I Suleiman, MD
• Lauren N Swanson, PA-C
• John Sykora
• Janice Lynn Vistro Tamayo, NP-C

• Physical Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.