Kha D Nguyen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296670 Issued in CA

Practice address

277 Rancheros Dr Ste 150
San Marcos, CA 92069-2976

Phone

(769) 752-1011

Fax

(760) 752-1311

NPI assigned

May 23, 2019

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Physical Therapy PCGroup PAC ID 6406022078, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renew Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Novato, CA
  • NPI 1255508453

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320

  Single Specialty

  Medicare reassignment NPD
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Fallbrook, CA
  • NPI 1174591812
  NPD

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1407413511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE C",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302740",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 RANCHEROS DR STE 150",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692976",
            "telephone_number": "769-752-1011",
            "fax_number": "760-752-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25150 Hancock Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625988",
            "country_code": "US",
            "telephone_number": "951-698-7720",
            "fax_number": "951-698-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHA",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407413511",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB348646",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT296670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Thanh an Nguyen, AUD
• Ann T Nguyen
• Han Nguyen, DPM
• Han Mary Nguyen
• Judy T Nguyen, DDS
• Leann Nguyen, DAOM
• Lori Nguyen
• Maggie T Nguyen, PHARMD
• Man Thanh Nguyen, RN
• Minh Quoc Nguyen, M.D.

• Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.