Individual provider Active NPI

Gene Tekmyster, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • El Segundo, CA
National Provider Identifier
1316258304
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
20A18060 Issued in CA
Practice address
555 N Nash St Ste B
El Segundo, CA 90245-2818
Phone
(310) 421-9912
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 052447 CT
Physical Medicine & Rehabilitation Physician 208100000X 264035 NY
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 20A18060 CA Primary

Addresses

Primary practice location

555 N Nash St Ste B
El Segundo, CA 90245-2818

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (310) 421-9912

Other practice location 1

1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322
Phone (323) 442-5860

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gene.tekmyster@direct.usc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150216001829 CT Practitioner - Physical Medicine and Rehabilitation 5395060313 Reassigns benefits to 1 organization
I20200323001286 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 5395060313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1818 Verdugo Blvd
Suite 300
Glendale, CA 91208-1438
Phone (818) 949-7380

555 N Bash St
Suite B
El Segundo, CA 90245-2818
Phone (310) 421-9912

Hospital & facility affiliations

  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
264035NYMDPhysical Medicine & Rehabilitation Physician
20A18060CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician
052447CTMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Feb 20, 2020 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Feb 20, 2020 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
SVMC Holdings, Inc Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

555 N Nash St
Ste B
El Segundo, CA 90245
Phone (310) 421-9912

1818 Verdugo Blvd
Ste 300
Glendale, CA 91208
Phone (818) 790-2395

1520 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 442-5830

1450 San Pablo St
Ste 5400
Los Angeles, CA 90033
Phone (323) 442-4300

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

Interoperability endpoints

  • Direct secure messaging: gene.tekmyster@direct.usc.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316258304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "310-421-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NASH ST STE B",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452818",
            "telephone_number": "310-421-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335322",
            "country_code": "US",
            "telephone_number": "323-442-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKMYSTER",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CT",
            "license": "052447",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "264035",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A18060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gene.tekmyster@direct.usc.edu",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "555 N Nash St Ste B",
            "city": "El Segundo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902452818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.