Active NPI
Vivian T Nguyen, M.S., OTR/L
- Occupational Therapist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60102700
- Practice address
- 8001 Chanute PL Apt 3
Falls Church, VA 22042-1159 - Phone
- (703) 980-4825
- NPI assigned
- Aug 12, 2009
- Last updated
- Nov 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT11334 | CA | |
| Occupational Therapist | 225X00000X | OT60102700 | WA | Primary |
Addresses
Primary practice location
8001 Chanute PL Apt 3
Falls Church, VA 22042-1159
Mailing address
8001 Chanute PL Apt 3
Falls Church, VA 22042-1159
Phone (703) 980-4825
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10538 Mission Gorge Rd
Suite 120
Santee, CA 92071-3154
Phone (619) 312-6109
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
4650 Palm Ave
San Diego, CA 92154-8404
Phone (619) 528-5000
5893 Copley Dr
San Diego, CA 92111-7906
Phone (858) 616-5499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11334 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OT11334 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Select San Diego Physical Therapy, PC. | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Select San Diego Physical Therapy, PC. | Occupational Therapist | Current | Accepting new patients |
| Select San Diego Physical Therapy, PC. | Occupational Therapist | Current | Accepting new patients |
| Select San Diego Physical Therapy, PC. | Past | Accepting new patients | |
| Select San Diego Physical Therapy, PC. | Past | Accepting new patients |
Locations
15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263
11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460
16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837
3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522
1 Civic Center Dr
Ste 360
San Marcos, CA 92069
Phone (760) 653-2429
400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901
Organizations & group practices 8
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- San Diego, CA
- NPI 1700516408
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Santee, CA
- NPI 1942930656
Occupational Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- San Diego, CA
- NPI 1992435606
Occupational Therapist
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Poway, CA
- NPI 1801526512
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Vista, CA
- NPI 1972233674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1891927612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 CHANUTE PL APT 3",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421159",
"telephone_number": "703-980-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 CHANUTE PL APT 3",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421159",
"telephone_number": "703-980-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VIVIAN",
"middle_name": "T",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT11334",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60102700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.