Active NPI
Alexis Tham
- Physician Assistant
- Arcadia, CA
National Provider Identifier
1043979461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 100 N Santa Anita Ave
Arcadia, CA 91006-3108 - Phone
- (626) 821-5998
- Fax
- (626) 821-5990
- NPI assigned
- Dec 13, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
100 N Santa Anita Ave
Arcadia, CA 91006-3108
Mailing address
100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone (626) 821-5998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1043979461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N SANTA ANITA AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063108",
"telephone_number": "626-821-5998",
"fax_number": "626-821-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N SANTA ANITA AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063108",
"telephone_number": "626-821-5998",
"fax_number": "626-821-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAM",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-13",
"last_updated": "2022-02-21",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.