Individual provider Active NPI

Duy Nguyen

  • Occupational Therapist
  • Garden Grove, CA
National Provider Identifier
1033686548
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
12662 Kathy LN
Garden Grove, CA 92840-5606
Phone
(714) 204-8402
NPI assigned
Nov 1, 2018
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

12662 Kathy LN
Garden Grove, CA 92840-5606

Mailing address

11011 Cynthia Cir
Garden Grove, CA 92843-3416
Phone (714) 204-8402

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy Inc. CurrentSince Mar 1, 2019 Accepting new patients
Global Physical Therapy and Wellness CurrentSince Mar 6, 2022 Accepting new patients
Dynamik Rehab Inc CurrentSince Sep 10, 2024 Accepting new patients

Locations

12131 Brookhurst St
Ste B
Garden Grove, CA 92840
Phone (714) 360-8828

14221 Euclid St
Ste F
Garden Grove, CA 92843
Phone (714) 343-4834

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1033686548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 CYNTHIA CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433416",
            "telephone_number": "714-204-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12662 KATHY LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405606",
            "telephone_number": "714-204-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.