Individual provider Active NPI

Olivia Van Guyse

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1427902048
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305649 Issued in CA
Practice address
1500 Adams Ave Ste 206
Costa Mesa, CA 92626-3818
Phone
(909) 248-4264
NPI assigned
Feb 21, 2026
Last updated
Feb 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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 305649 CA Primary

Addresses

Primary practice location

1500 Adams Ave Ste 206
Costa Mesa, CA 92626-3818

Mailing address

150 E 21St St Apt 10
Costa Mesa, CA 92627-7161
Phone (262) 515-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
305649CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1771632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1427902048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 21ST ST APT 10",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277161",
            "telephone_number": "262-515-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ADAMS AVE STE 206",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263818",
            "telephone_number": "909-248-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GUYSE",
        "first_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-21",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.