Active NPI
Travis Nguyen
- Marriage & Family Therapist
- Norwalk, CA
National Provider Identifier
1487391017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 157434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 157434 | CA | MD | Marriage & Family Therapist |
| 20311 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Orange County Association for Mental Health | Past | Accepting new patients | |
| Applied Behavior Analysis Consultation Services, Inc. | Past | Accepting new patients | |
| Orange County Association for Mental Health | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, CA
- NPI 1922171073
-
- Developmentally Disabled Services Day Training Agency
- Cerritos, CA
- NPI 1851791420
-
- Mental Health Counselor
- Santa Ana, CA
- NPI 1316076151
-
- Mental Health Counselor
- Costa Mesa, CA
- NPI 1972632610
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.