Active NPI
Alexander Thermos, D.O., D.C.
- Family Medicine Physician
- Aliso Viejo, CA
National Provider Identifier
1104818491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A11028
- Practice address
- 125 Columbia
Ste a
Aliso Viejo, CA 92656-4101 - Phone
- (888) 564-2081
- Fax
- (949) 429-0623
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38341 | CO | |
| Family Medicine Physician | 207Q00000X | 20A11028 | CA | Primary |
Addresses
Primary practice location
125 Columbia
Ste a
Aliso Viejo, CA 92656-4101
Mailing address
125 Columbia
Ste a
Aliso Viejo, CA 92656-4101
Phone (888) 564-2081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34170731 | Medicaid | CO |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11028 | CA | MD | Family Medicine Physician |
| 38341 | CO | MD | Pediatrics Physician |
| 207 | NE | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstream Root Cause Medicine | Past | Accepting new patients |
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.
-
- Integrative Medicine Physician
- Omaha, NE
- NPI 1326981010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1104818491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 COLUMBIA",
"address_2": "STE A",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926564101",
"telephone_number": "888-564-2081",
"fax_number": "949-429-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COLUMBIA",
"address_2": "STE A",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926564101",
"telephone_number": "888-564-2081",
"fax_number": "949-429-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERMOS",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.O., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "38341",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34170731",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.