Individual provider Active NPI

Andrew Nguyen, DPT

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1255072245
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT301401 Issued in CA
Practice address
250 El Camino Real Ste 100
Tustin, CA 92780-3655
Phone
(714) 485-7642
Fax
(714) 838-7099
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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 PT301401 CA Primary

Addresses

Primary practice location

250 El Camino Real Ste 100
Tustin, CA 92780-3655

Mailing address

2951 Harbor Blvd
Costa Mesa, CA 92626-3912
Phone (714) 485-7642

Other practice location 1

2790 Harbor Blvd Ste 300
Costa Mesa, CA 92626-5157
Phone (714) 485-7642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001449 CA Practitioner - Physical Therapist in Private Practice 7012304298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
HW Physical TherapyGroup PAC ID 8426304825, 3 clinicians
Health Works Physical Therapy IncGroup PAC ID 3274787668, 4 clinicians

Practice addresses (Care Compare)

250 El Camino Real
Suite 100
Tustin, CA 92780-3655
Phone (714) 838-6999

2790 Harbor Blvd
Suite 300
Costa Mesa, CA 92626-5157
Phone (714) 427-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT301401CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HW Physical Therapy Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients
Health Works Physical Therapy, Inc Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients
Specialized Physical Therapy, Apc Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients

Locations

2951 Harbor Blvd
Costa Mesa, CA 92626
Phone (714) 427-0803

2790 Harbor Blvd
Ste 300
Costa Mesa, CA 92626
Phone (714) 427-0803

250 El Camino Real
Ste 100
Tustin, CA 92780
Phone (714) 485-7642

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1255072245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-485-7642",
            "fax_number": "714-427-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655",
            "telephone_number": "714-485-7642",
            "fax_number": "714-838-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Harbor Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926265157",
            "country_code": "US",
            "telephone_number": "714-485-7642",
            "fax_number": "714-427-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.