Bao Phuc Nguyen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300348 Issued in CA

Practice address

4541 Philadelphia St Ste C103
Chino, CA 91710-2250

Phone

(909) 590-7997

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Care Physical Therapy, Inc.Group PAC ID 7618037623, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Central Care Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Chino, CA
  • NPI 1457514382

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1942879515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054913",
            "telephone_number": "619-632-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 PHILADELPHIA ST STE C103",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102250",
            "telephone_number": "909-590-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO",
        "middle_name": "PHUC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ngo, D.D.S.
• Valerie Nguy, PHARMD
• Nguyen & Truong Dental Corp (Dentistry Today)
• Nguyen and Lac, a Professional Corporation (The Vision Shop Optometry)
• Nguyen-Ho Optometry, PC (Keen Eye Optometry)
• Daniel Dung Tien Nguyen, D.D.S.
• Dao Quynn Nguyen, PHD
• Duyen Nguyen, LVN
• Hoan Ngoc Nguyen, M.D.
• Howard Hai Tuan Nguyen, O.D.

• Physical Therapist in Chino, CA
• Providers in Chino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.