Individual provider Active NPI

Derrick Oriondo, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1720675143
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299540 Issued in CA
Practice address
3760 Convoy St Ste 100
San Diego, CA 92111-3743
Phone
(858) 563-9758
Fax
(858) 874-0582
NPI assigned
Dec 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 299540 CA Primary

Addresses

Primary practice location

3760 Convoy St Ste 100
San Diego, CA 92111-3743

Mailing address

3760 Convoy St Ste 101
San Diego, CA 92111-3743
Phone (858) 264-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111001868 CA Practitioner - Physical Therapist in Private Practice 1355754474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299540CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Physical Therapy Physical Therapist CurrentSince Dec 15, 2020 Accepting new patients
Fit Athletic Physical Therapy, Inc. Physical Therapist CurrentSince Jul 11, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 2, 2025 Accepting new patients
Livara Health Medical Group PC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 2, 2025 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist Past Accepting new patients

Locations

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

11838 Bernardo Plaza Ct
Ste 101
San Diego, CA 92128
Phone (844) 344-7979

350 10th Ave
Ste 200
San Diego, CA 92101
Phone (619) 764-5348

9610 Granite Ridge Dr
San Diego, CA 92123
Phone (858) 505-5400

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

Organizations & group practices 7

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1720675143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-264-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-563-9758",
            "fax_number": "858-874-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIONDO",
        "first_name": "DERRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.