Individual provider Active NPI

Michael Vuong, PT, DPT

  • Orthopedic Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1407495435
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
297566 Issued in CA
Practice address
1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone
(714) 835-6638
NPI assigned
Dec 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 297566 CA Primary

Addresses

Primary practice location

1910 Old Tustin Ave
Santa Ana, CA 92705-7811

Mailing address

1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone (714) 835-6638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014003667 CA Practitioner - Physical Therapist in Private Practice 4183059983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Rise Physical Therapy IncGroup PAC ID 2062636079, 55 clinicians

Practice addresses (Care Compare)

15375 Barranca Pkwy
Suite A103
Irvine, CA 92618-2203
Phone (949) 590-9350

380 Stevens Ave
Suite 314
Solana Beach, CA 92075-2069
Phone (858) 755-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297566CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis and Watson Physical Therapy Inc. Orthopedic CurrentSince Dec 22, 2019 Accepting new patients
April Lopez Chiropractic. a Professional Corporation PastSince Jan 1, 2022 Accepting new patients

Locations

1910 Old Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-6638

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1407495435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057811",
            "telephone_number": "714-835-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057811",
            "telephone_number": "714-835-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "297566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.