Active NPI
Bryan V Nguyen, DPT
- Physical Therapist
- Ramona, CA
National Provider Identifier
1497413157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1338 Main St
Ramona, CA 92065-2127 - Phone
- (760) 789-1400
- Fax
- (760) 789-1401
- NPI assigned
- Nov 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1338 Main St
Ramona, CA 92065-2127
Mailing address
24630 Washington Ave Ste 201
Murrieta, CA 92562-6177
Phone (951) 200-3620
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy and Wellness, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620
Organizations & group practices 1
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
- La Quinta, CA
- NPI 1780702209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1497413157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE STE 201",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-200-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 MAIN ST",
"city": "RAMONA",
"state": "CA",
"postal_code": "920652127",
"telephone_number": "760-789-1400",
"fax_number": "760-789-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BRYAN",
"middle_name": "V",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ramona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.