Active NPI
Son Anh Nguyen, PTA
- Physical Therapy Assistant
- Huntington Beach, CA
National Provider Identifier
1578357588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52294
- Practice address
- 18811 Florida St
Huntington Beach, CA 92648-1920 - Phone
- (714) 847-3515
- NPI assigned
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 52294 | CA | Primary |
Addresses
Primary practice location
18811 Florida St
Huntington Beach, CA 92648-1920
Mailing address
188 S Alice Way
Anaheim, CA 92806-4032
Phone (714) 360-6441
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 |
|---|---|---|---|
| 52294 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1578357588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 S ALICE WAY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928064032",
"telephone_number": "714-360-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18811 FLORIDA ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481920",
"telephone_number": "714-847-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SON",
"middle_name": "ANH",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.