Individual provider Active NPI

Jessie Nguyen, PT, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1962005611
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299548 Issued in CA
Practice address
1828 Oceanside Blvd
Oceanside, CA 92054-3452
Phone
(844) 316-7979
Fax
(866) 813-1235
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299548 CA Primary

Addresses

Primary practice location

1828 Oceanside Blvd
Oceanside, CA 92054-3452

Mailing address

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other practice location 1

285 N El Camino Real Ste 105
Encinitas, CA 92024-5384
Phone (844) 316-7979

Other practice location 2

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other practice location 3

405 N Twin Oaks Valley Rd Ste 111
San Marcos, CA 92069-2954
Phone (844) 316-7979

Other practice location 4

2318 Proctor Valley Rd Ste 107
Chula Vista, CA 91914-6000
Phone (844) 316-7979

Other practice location 5

12865 Pointe Del Mar Way Ste 190
Del Mar, CA 92014-3860
Phone (844) 316-7979

Other practice location 6

8866 Navajo Rd
San Diego, CA 92119-2100
Phone (844) 316-7979

Other practice location 7

11838 Bernardo Plaza Ct Ste 101
San Diego, CA 92128-2414
Phone (844) 344-7979

Other practice location 8

6215 Ferris Sq Ste 140
San Diego, CA 92121-3279
Phone (844) 316-7979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202001758 CA Practitioner - Physical Therapist in Private Practice 0840601456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

1255 N Broadway
Escondido, CA 92026-2863
Phone (512) 327-4444

1325 Las Villas Way
Escondido, CA 92026-1946
Phone (512) 327-4444

500 E Valley Pkwy
Escondido, CA 92025-3054
Phone (800) 967-4667

850 Del Mar Downs Rd
Solana Beach, CA 92075-2725
Phone (512) 327-4444

9000 Murray Dr
La Mesa, CA 91942-3572
Phone (800) 967-4667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299548CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinezone Medical Fitness, Inc. Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Oct 16, 2024 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Oct 16, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Sep 28, 2021 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Jan 26, 2022 Accepting new patients
Livara Health Medical Group NJ, PC Physical Therapist Past Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist Past Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

1828 Oceanside Blvd
Oceanside, CA 92054

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1962005611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 OCEANSIDE BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543452",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 N El Camino Real Ste 105",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245384",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7525 Metropolitan Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084404",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 N Twin Oaks Valley Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692954",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Proctor Valley Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919146000",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12865 Pointe Del Mar Way Ste 190",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920143860",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8866 Navajo Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921192100",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11838 Bernardo Plaza Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282414",
            "country_code": "US",
            "telephone_number": "844-344-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6215 Ferris Sq Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213279",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JESSIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.