Active NPI
Omed Kazuharu Thurston
- Orthopedic Physical Therapist
- Chula Vista, CA
National Provider Identifier
1033030408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 310261
- Practice address
- 2060 Otay Lakes Rd Ste 110
Chula Vista, CA 91913-1364 - Phone
- (619) 373-9222
- NPI assigned
- Jul 22, 2026
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 310261 | CA | Primary |
Addresses
Primary practice location
2060 Otay Lakes Rd Ste 110
Chula Vista, CA 91913-1364
Mailing address
9620 Orangeburg CT
San Diego, CA 92129-3519
Phone (619) 655-6025
Other names 1
- Kazu Thurston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2060 Otay Lakes Rd
Suite 110
Chula Vista, CA 91913-1363
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1033030408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9620 ORANGEBURG CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293519",
"telephone_number": "619-655-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 OTAY LAKES RD STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131364",
"telephone_number": "619-373-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "OMED",
"middle_name": "KAZUHARU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "310261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAZU",
"last_name": "THURSTON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.