Kathy V Nguyen, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

22622 Issued in CA

Practice address

955 Haley Talbert Dr
Corona, CA 92881-8402

Phone

(714) 795-9318

NPI assigned

Apr 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1144964420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HALEY TALBERT DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818402",
            "telephone_number": "714-795-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HALEY TALBERT DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818402",
            "telephone_number": "714-795-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KATHY",
        "middle_name": "V",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "22622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secot2@rcoe.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "955 Haley Talbert Dr",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928818402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Nguyen, PHARM.D.
• Joseph Nguyen, O.D.
• Kailey Nguyen
• Katharine Nguyen, PHARM.D.
• Kathy Baolinh Nguyen
• Kristina Isabel Nguyen, FNP
• Krystal-Lauren Mellisa Nguyen, RN, IBCLC
• Lan Nguyet Nguyen, D.D.S.
• Lee T Nguyen, DC
• Lily Nguyen, PHARMACIST

• Pediatric Occupational Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.