Organization Active NPI

Excel Rehab and Wellness

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1306492525
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCEL REHAB AND WELLNESS
Practice address
12642 Brookhurst St
Garden Grove, CA 92840-4808
Phone
(714) 210-8888
Fax
(657) 377-0924
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Danny Son Pham I, PTNPI 1932121704
Title
Owner
Phone
(949) 815-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12642 Brookhurst St
Garden Grove, CA 92840-4808

Mailing address

12642 Brookhurst St
Garden Grove, CA 92840-4808
Phone (714) 210-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@excelrehabservices.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200430002189 CA Part B Supplier - Clinic/Group Practice 8921438177 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

8851 Garden Grove Blvd
#10
Garden Grove, CA 92844

8851 Garden Grove Blvd
Ste 105
Garden Grove, CA 92844
Phone (714) 583-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1306492525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12642 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404808",
            "telephone_number": "714-210-8888",
            "fax_number": "657-377-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12642 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404808",
            "telephone_number": "714-210-8888",
            "fax_number": "657-377-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-815-1234",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@excelrehabservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "441 E Carson St Ste L",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907457714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.