Individual provider Active NPI

Ann Grace Thomas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1114336658
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007343 Issued in CA
Practice address
2719 N Air Fresno Dr
Fresno, CA 93727-1547
Phone
(559) 600-8918
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007343 CA Primary

Addresses

Primary practice location

2719 N Air Fresno Dr
Fresno, CA 93727-1547

Mailing address

3308 El Camino Ave # 300-136
Sacramento, CA 95821-6327
Phone (800) 377-8163

Other practice location 1

2400 Wible Rd
Bakersfield, CA 93304-4700
Phone (661) 310-3688

Other practice location 2

7800 Niles St
Bakersfield, CA 93306-4922
Phone (661) 310-3688

Other practice location 3

429 E Manning Ave
Parlier, CA 93648-2668
Phone (661) 310-3688

Other names 1

  • Ann Grace Abraham Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108002485 CA Practitioner - Nurse Practitioner 1658593157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

2001 28TH St
Bakersfield, CA 93301-1924
Phone (661) 868-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007343CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Nov 3, 2017 Accepting new patients
Qamar U Arfeen MD PA CurrentSince Oct 1, 2014 Accepting new patients
County of Fresno CurrentSince Jun 28, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Nov 3, 2017 Accepting new patients
County of Fresno CurrentSince Jun 28, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Nov 3, 2017 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

1400 S Union Ave
Ste 100
Bakersfield, CA 93307
Phone (661) 397-8775

2000 Physicians Blvd
Bakersfield, CA 93301
Phone (661) 324-1455

2400 Wible Rd
Bakersfield, CA 93304
Phone (661) 835-1240

7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284

828 High St
Ste C
Delano, CA 93215
Phone (661) 721-5830

2719 N Air Fresno Dr
Fresno, CA 93727
Phone (559) 600-8918

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

7839 Burgundy Ave
Lamont, CA 93241
Phone (661) 845-5100

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

Interoperability endpoints

  • Direct secure messaging: athomas21010@clinicasierravista.direct-ci.com

Organizations & group practices 9

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1114336658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 EL CAMINO AVE # 300-136",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216327",
            "telephone_number": "800-377-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 N AIR FRESNO DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271547",
            "telephone_number": "559-600-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wible Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933044700",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7800 Niles St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064922",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 E Manning Ave",
            "address_purpose": "LOCATION",
            "city": "Parlier",
            "state": "CA",
            "postal_code": "936482668",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANN",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "ABRAHAM",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.