Individual provider Active NPI

Dennis Nguyen

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1336619022
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295865 Issued in CA
Practice address
6865 Alton Pkwy Ste 110
Irvine, CA 92618-3740
Phone
(949) 679-2933
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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 295865 CA Primary

Addresses

Primary practice location

6865 Alton Pkwy Ste 110
Irvine, CA 92618-3740

Mailing address

14881 Doheny Cir
Irvine, CA 92604-2358
Phone (949) 653-6821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125001164 CA Practitioner - Physical Therapist in Private Practice 8527305705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy IncGroup PAC ID 6709078967, 8 clinicians

Practice addresses (Care Compare)

26691 Plaza
Suite 201
Mission Viejo, CA 92691-8582
Phone (949) 716-5050

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
79
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Therapy Solutions CurrentSince Nov 27, 2018 Accepting new patients
California Therapy Solutions Physical Therapist CurrentSince Nov 27, 2018 Accepting new patients
Premier Physical Therapy Inc Physical Therapist CurrentSince Jul 26, 2021 Accepting new patients

Locations

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

6865 Alton Pkwy
Ste 110
Irvine, CA 92618
Phone (949) 679-2933

24422 Avenida de la Carlota
Ste 380
Laguna Hills, CA 92653

23141 Moulton Pkwy
Ste 109
Laguna Woods, CA 92653
Phone (919) 272-0007

23101 Lake Center Dr
Ste 100
Lake Forest, CA 92630
Phone (949) 297-3704

26730 Towne Centre Dr
Ste 204
Lake Forest, CA 92610
Phone (949) 398-0488

26691 Plaza
Ste 201
Mission Viejo, CA 92691

1010 W La Veta Ave
Ste 615
Orange, CA 92868
Phone (888) 268-8607

319 E Palm Dr
Ste B
Placentia, CA 92870

655 Camino de los Mares
Ste 120
San Clemente, CA 92673
Phone (949) 484-4148

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1336619022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14881 DOHENY CIR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042358",
            "telephone_number": "949-653-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 ALTON PKWY STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183740",
            "telephone_number": "949-679-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.