Individual provider Active NPI

Silverton Nguyen, PT

  • Physical Therapist
  • San Pedro, CA
National Provider Identifier
1043584089
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38773 Issued in CA
Practice address
481 W 6TH St
San Pedro, CA 90731-2631
Phone
(424) 536-3023
Fax
(424) 536-3093
NPI assigned
Mar 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 PT38773 CA Primary

Addresses

Primary practice location

481 W 6TH St
San Pedro, CA 90731-2631

Mailing address

481 W 6TH St
San Pedro, CA 90731-2631
Phone (424) 536-3023

Other practice location 1

2888 Long Beach Blvd
#405
Long Beach, CA 90806-1530
Phone (562) 595-4489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120612000502 CA Practitioner - Physical Therapist in Private Practice 6204090848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy San Pedro CorpGroup PAC ID 0446699029, 3 clinicians

Practice addresses (Care Compare)

415 W 6TH St
San Pedro, CA 90731-2631
Phone (424) 536-3023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38773CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab and Sports Therapy Physical Therapist CurrentSince Apr 26, 2013 Accepting new patients
California Rehab & Sports Therapy CurrentSince Apr 26, 2013 Accepting new patients
Physical Therapy San Pedro Corp. Physical Therapist CurrentSince May 27, 2024 Accepting new patients
Sequoia Physical Therapy, Inc PastSince Apr 20, 2007 Accepting new patients
Sequoia Physical Therapy Research Institute Inc Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

79440 Corporate Center Dr
Ste 112
La Quinta, CA 92253
Phone (760) 771-9054

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

481 W 6th St
San Pedro, CA 90731
Phone (424) 536-3023

415 W 6th St
San Pedro, CA 90731
Phone (424) 536-3023

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

Organizations & group practices 6

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1043584089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312631",
            "telephone_number": "424-536-3023",
            "fax_number": "424-536-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312631",
            "telephone_number": "424-536-3023",
            "fax_number": "424-536-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2888 Long Beach Blvd",
            "address_2": "#405",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061530",
            "country_code": "US",
            "telephone_number": "562-595-4489",
            "fax_number": "562-595-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SILVERTON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.