Individual provider Active NPI

Daisuke Dean Saiki, PT, DPT

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1316447576
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293449 Issued in CA
Practice address
1426 Aviation Blvd.
204
Redondo Beach, CA 90278
Phone
(310) 798-8899
Fax
(310) 798-8810
NPI assigned
Feb 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293449 CA Primary

Addresses

Primary practice location

1426 Aviation Blvd.
204
Redondo Beach, CA 90278

Mailing address

1426 Aviation Blvd Ste 204
Redondo Beach, CA 90278-4062
Phone (310) 798-8899

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121000794 CA Practitioner - Physical Therapist in Private Practice 1052743598 Reassigns benefits to 1 organization
I20240606001484 NM Practitioner - Physical Therapist in Private Practice 1052743598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Movement, LLCGroup PAC ID 4284026113, 3 clinicians

Practice addresses (Care Compare)

1935 Warner Ave
Santa Fe, NM 87505-5452
Phone (505) 906-6683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293449CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Movement, LLC Physical Therapist CurrentSince May 15, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 23, 2019 Accepting new patients
Ramon Lopez Physical Therapy Inc Physical Therapist PastSince Mar 1, 2008 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

1935 Warner Ave
Santa Fe, NM 87505
Phone (505) 906-6683

Organizations & group practices 3

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1316447576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784062",
            "telephone_number": "310-798-8899",
            "fax_number": "310-798-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD.",
            "address_2": "204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "310-798-8899",
            "fax_number": "310-798-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIKI",
        "first_name": "DAISUKE",
        "middle_name": "DEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.