Individual provider Active NPI

Walter Alain Thomas, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1063404606
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A67913 Issued in CA
Practice address
3444 Kearny Villa Rd
Ste 303
San Diego, CA 92123-1959
Phone
(858) 616-6400
Fax
(858) 616-6936
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A67913 CA Primary

Addresses

Primary practice location

3444 Kearny Villa Rd
Ste 303
San Diego, CA 92123-1959

Mailing address

3444 Kearny Villa Rd
Ste 303
San Diego, CA 92123-1959
Phone (858) 616-6400

Other identifiers 2

IdentifierTypeStateIssuer
00A679130MedicaidCA
A67913OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000775 CA Practitioner - Orthopedic Surgery 8426030925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

258 Lombard St
Thousand Oaks, CA 91360-5806
Phone (805) 497-0817

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67913CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Alain Thomas, M.D. Current Accepting new patients
Walter Alain Thomas M D Inc Orthopaedic Surgery CurrentSince Oct 6, 2018 Accepting new patients

Locations

480 Fourth Ave
Ste 307
Chula Vista, CA 91910
Phone (619) 409-3605

3444 Kearny Villa Rd
Ste 303
San Diego, CA 92123
Phone (858) 616-6400

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

258 Lombard St
Ste 200
Thousand Oaks, CA 91360
Phone (213) 793-4072

258 Lombard St
Thousand Oaks, CA 91360
Phone (805) 497-0817

Organizations & group practices 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1063404606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD",
            "address_2": "STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231959",
            "telephone_number": "858-616-6400",
            "fax_number": "858-616-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD",
            "address_2": "STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231959",
            "telephone_number": "858-616-6400",
            "fax_number": "858-616-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WALTER",
        "middle_name": "ALAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A67913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A679130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A67913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.