Kenneth Megumi Teshima, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2103 Issued in CA

Practice address

24331 El Toro Road, Suite 370
Laguna Woods, CA 92637-3104

Phone

(949) 951-9207

Fax

(949) 588-8826

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1184837098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO ROAD, SUITE 370",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373104",
            "telephone_number": "949-951-9207",
            "fax_number": "949-588-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO ROAD, SUITE 370",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373104",
            "telephone_number": "949-951-9207",
            "fax_number": "949-588-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESHIMA",
        "first_name": "KENNETH",
        "middle_name": "MEGUMI",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EDI #",
            "identifier": "000021929",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Brandon Spencer Jr., HAD
• Scott A Stephan, PA
• Aleksey Stugarev
• Nina Marie Sweeney I, NC
• Bonnie Tauber, PSY.D.
• The Alder Corporation (El Toro Adult Day Services)
• Touching Hands Care Group, Inc.
• Cecilia Tran, PHARMD
• Trans Elegant Services LLC
• Frank Vakili, PHARMACIST

• Podiatrist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.