Active NPI
Kenneth K Temeki
- Orthotist
- Gardena, CA
National Provider Identifier
1720260474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stance Prosthetics & Orthotics LLC | Orthotist | Current | 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.
-
- Prosthetic/Orthotic Supplier
- Santa Ana, CA
- NPI 1629350178
Orthotist
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.