Individual provider Active NPI

Kenneth K Temeki

  • Orthotist
  • Gardena, CA
National Provider Identifier
1720260474
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
1300 W 155TH St
Suite 106
Gardena, CA 90247-4048
Phone
(310) 358-4596
NPI assigned
Dec 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X Primary

Addresses

Primary practice location

1300 W 155TH St
Suite 106
Gardena, CA 90247-4048

Mailing address

1125 E 17TH St Ste N354
Santa Ana, CA 92701-2269
Phone (714) 852-3756

Other names 1

  • Kenneth K Temeki Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stance Prosthetics & Orthotics LLC Orthotist CurrentSince Oct 9, 2022 Accepting new patients

Locations

1300 W 155th St
Ste 106
Gardena, CA 90247
Phone (310) 358-4596

1125 E 17th St
Ste N354
Santa Ana, CA 92701
Phone (714) 569-0388

Organizations & group practices 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664668800000",
    "number": "1720260474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE N354",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012269",
            "telephone_number": "714-852-3756",
            "fax_number": "714-852-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST",
            "address_2": "SUITE 106",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474048",
            "telephone_number": "310-358-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMEKI",
        "first_name": "KENNETH",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "TEMEKI",
            "middle_name": "K",
            "credential": "ORTHOTIST/PROSTHETIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; 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.