Individual provider Active NPI

Travis Nguyen

  • Marriage & Family Therapist
  • Norwalk, CA
National Provider Identifier
1487391017
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
157434 Issued in CA
Practice address
12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179
Phone
(562) 864-7821
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Counselor 101Y00000X 20311 CA
Marriage & Family Therapist 106H00000X 157434 CA Primary
Behavior Analyst 103K00000X 1-25-84042 CA

Addresses

Primary practice location

12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179

Mailing address

12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179
Phone (562) 864-7821

Other practice location 1

13079 Artesia Blvd Ste B210
Cerritos, CA 90703-1486
Phone (844) 422-2435

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
157434CAMDMarriage & Family Therapist
20311CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Oct 5, 2025 Accepting new patients
Orange County Association for Mental Health PastSince Jul 1, 2024 Accepting new patients
Applied Behavior Analysis Consultation Services, Inc. PastSince Apr 6, 2025 Accepting new patients
Orange County Association for Mental Health PastSince Jul 1, 2024 Accepting new patients

Locations

12501 Imperial Hwy
Ste 500B
Norwalk, CA 90650
Phone (562) 745-5946

Organizations & group practices 4

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1487391017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 IMPERIAL HWY STE 500B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503179",
            "telephone_number": "562-864-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 IMPERIAL HWY STE 500B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503179",
            "telephone_number": "562-864-7821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13079 Artesia Blvd Ste B210",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907031486",
            "country_code": "US",
            "telephone_number": "844-422-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "20311",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "157434",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-25-84042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.