Individual provider Active NPI

Aimei Deng, CPED/ORTHOTIC FITTER

  • Pedorthist
  • Anaheim, CA
National Provider Identifier
1629959978
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
CPED3872 Issued in CA
Practice address
1530 S Sinclair St
Anaheim, CA 92806-5933
Phone
(714) 443-0709
Fax
(949) 474-4460
NPI assigned
Sep 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CFO05699 CA
Pedorthist 224L00000X CPED3872 CA Primary

Addresses

Primary practice location

1530 S Sinclair St
Anaheim, CA 92806-5933

Mailing address

3361 Ruth Elaine Dr
Los Alamitos, CA 90720-3038
Phone (626) 400-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPED3872CAMDPedorthist
CFO05699CAMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
SG Homecare,Inc. CurrentSince Sep 14, 2025 Accepting new patients
SG Homecare,Inc. PastSince Sep 14, 2025 Accepting new patients

Locations

1530 S Sinclair St
Anaheim, CA 92806
Phone (714) 443-0709

Organizations & group practices 2

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": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629959978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 RUTH ELAINE DR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203038",
            "telephone_number": "626-400-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S SINCLAIR ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065933",
            "telephone_number": "714-443-0709",
            "fax_number": "949-474-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "AIMEI",
        "credential": "CPED/ORTHOTIC FITTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": "CFO05699",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "CA",
            "license": "CPED3872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.