Individual provider Active NPI

Alexander Thermos, D.O., D.C.

  • Family Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1104818491
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11028 Issued in CA
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

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34170731MedicaidCO

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11028CAMDFamily Medicine Physician
38341COMDPediatrics Physician
207NEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.