Active NPI
Hieu-Kevin Nguyen, PT
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1689441149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305191
- Practice address
- 1001 N Tustin Ave
Santa Ana, CA 92705-3502 - Phone
- (714) 953-3500
- NPI assigned
- Dec 5, 2023
- 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 Therapist | 225100000X | 305191 | CA | Primary |
Addresses
Primary practice location
1001 N Tustin Ave
Santa Ana, CA 92705-3502
Mailing address
PO Box 20316
Fountain Valley, CA 92728-0316
Other practice location 1
9401 Jeronimo Rd
Irvine, CA 92618-1908
Phone (714) 306-7919
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 |
|---|---|---|---|
| 305191 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1689441149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20316",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927280316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053502",
"telephone_number": "714-953-3500"
}
],
"practiceLocations": [
{
"address_1": "9401 Jeronimo Rd",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926181908",
"country_code": "US",
"telephone_number": "714-306-7919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "HIEU-KEVIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-05",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.