Glenn K Takei, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G35093 Issued in CA

Practice address

931 Buena Vista St
Ste 505
Duarte, CA 91010-1712

Phone

(626) 357-9931

Fax

(626) 359-0739

NPI assigned

Jul 17, 2006

Last updated

Jan 5, 2010By the provider in NPPES

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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1568480929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "STE 505",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101727",
            "telephone_number": "626-357-9931",
            "fax_number": "626-359-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "STE 505",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-357-9931",
            "fax_number": "626-359-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEI",
        "first_name": "GLENN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G35093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G350930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia Sunbai Sutton, M.D.
• Jirapa Suwansanya, PHARM.D.
• Wai Yip Szeto, MD
• Georgette Tadros, M.D.
• Tomoko Tagawa, M.D.
• Kirsten Pina Tallmon, PA-C
• Justin Alexander Tam, PHARMD
• Maribelle Tam, DDS
• Jerick Tan, NP
• Alan Chen Tang, M.D.

• Orthopaedic Surgery Physician in Duarte, CA
• Providers in Duarte, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.