Individual provider Active NPI

Vivian T Nguyen, M.S., OTR/L

  • Occupational Therapist
  • Falls Church, VA
National Provider Identifier
1891927612
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60102700 Issued in WA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20110302000171 CA Practitioner - Occupational Therapist in Private Practice 7214074038 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
11334CAMDAddiction (Substance Use Disorder) Counselor
OT11334CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jan 10, 2011 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 10, 2011 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 CurrentSince Jan 9, 2025 Accepting new patients
Select San Diego Physical Therapy, PC. Occupational Therapist CurrentSince Jan 9, 2025 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.

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.

Verify at the official NPI Registry.