Individual provider Active NPI

Derrick George Sueki, DPT

  • Orthopedic Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1184770406
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
23715 Issued in CT
Practice address
13341 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2255
Phone
(714) 750-4097
Fax
(714) 750-4616
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 23715 CT Primary

Addresses

Primary practice location

13341 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2255

Mailing address

2293 Simon St
Fullerton, CA 92833-5031
Phone (714) 870-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000404 CA Practitioner - Physical Therapist in Private Practice 9436125333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohana Physical Therapy IncGroup PAC ID 7911972906, 6 clinicians

Practice addresses (Care Compare)

13341 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2255
Phone (714) 750-4097

13341 Garden Grove Blvd B
Garden Grove, CA 92843-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1184770406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 SIMON ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335031",
            "telephone_number": "714-870-7720",
            "fax_number": "714-750-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432255",
            "telephone_number": "714-750-4097",
            "fax_number": "714-750-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEKI",
        "first_name": "DERRICK",
        "middle_name": "GEORGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "23715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.