Individual provider Active NPI

Harry Nguyen, DPT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1629558499
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294903 Issued in CA
Practice address
2400 Grant Rd FL 2
Mountain View, CA 94040-4301
Phone
(650) 940-7285
NPI assigned
Aug 20, 2018
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294903 CA
Physical Therapist 225100000X PT294903 CA Primary

Addresses

Primary practice location

2400 Grant Rd FL 2
Mountain View, CA 94040-4301

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022000319 CA Practitioner - Physical Therapist in Private Practice 0941553945 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294903CAMDPhysical Therapist
PT294903CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2018 Accepting new patients
Regents of the University of California CurrentSince Jul 6, 2020 Accepting new patients
Regents of the University of California CurrentSince Jul 6, 2020 Accepting new patients
Taylor & Thornburg Physical Therapy, Inc. Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2018 Accepting new patients
El Camino Hospital PastSince Aug 27, 2023 Accepting new patients
Usc Physical Therapy Associates, Inc. Physical Therapist PastSince Nov 1, 1999 Accepting new patients
Taylor & Thornburg Physical Therapy PastSince Oct 1, 2023 Accepting new patients

Locations

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1640 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4091

1640 Marengo St
Ste 102
Los Angeles, CA 90033
Phone (323) 224-7070

3718 Grand Ave
Ste 15
Oakland, CA 94610
Phone (510) 893-8878

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1629558499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GRANT RD FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404301",
            "telephone_number": "650-940-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HARRY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294903",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.