Active NPI
Vivian Thao Nguyen, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1487926788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38218
- Practice address
- 11500 W Olympic Blvd
Suite 350
Los Angeles, CA 90064-1524 - Phone
- (310) 473-8287
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38218 | CA | Primary |
Addresses
Primary practice location
11500 W Olympic Blvd
Suite 350
Los Angeles, CA 90064-1524
Mailing address
761 S Morningstar Dr
Anaheim, CA 92808-1633
Phone (714) 264-9733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5308 Monroe Ave
San Diego, CA 92115-3427
Phone (619) 314-6382
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38218 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Physical Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Physical Therapist | Current | Accepting new patients |
| Momentum Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr | Physical Therapist | Past | Accepting new patients |
Locations
11500 W Olympic Blvd
Ste 470
Los Angeles, CA 90064
Phone (310) 473-8287
11500 W Olympic Blvd
Ste 350
Los Angeles, CA 90064
Phone (310) 473-8287
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.
-
- Physical Therapist
- San Diego, CA
- NPI 1134001779
-
- Physical Therapist
- Los Angeles, CA
- NPI 1760547467
-
- Physical Therapist
- Hopedale, MA
- NPI 1871457994
-
- Physical Therapy Clinic/Center
- San Francisco, CA
- NPI 1205112174
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1487926788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 S MORNINGSTAR DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081633",
"telephone_number": "714-264-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD",
"address_2": "SUITE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641524",
"telephone_number": "310-473-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VIVIAN",
"middle_name": "THAO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.