Individual provider Active NPI

Erin E Thurman, PA

  • Medical Physician Assistant
  • Lakeport, CA
National Provider Identifier
1053503144
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1076844 Issued in CA
Practice address
5150 Hill Rd E Ste E
Lakeport, CA 95453-5100
Phone
(707) 263-4360
Fax
(707) 263-4036
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1076844 CA Primary

Addresses

Primary practice location

5150 Hill Rd E Ste E
Lakeport, CA 95453-5100

Mailing address

1032 Promontory Ter
San Ramon, CA 94583-1569
Phone (209) 631-1492

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19341CAMDAddiction (Substance Use Disorder) Counselor
1076844CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Valley Primary Care Medical Group, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fdd8a9ae-8fbb-4d2d-bbc0-da474abde02e/

Organizations & group practices 1

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1053503144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 PROMONTORY TER",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831569",
            "telephone_number": "209-631-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E STE E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-263-4360",
            "fax_number": "707-263-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "1076844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.