Thomas E Conklin, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

156153 Issued in MA

Practice address

18417 Nordhoff St
Suite# B
Northridge, CA 91325-2200

Phone

(818) 701-0551

Fax

(818) 701-5360

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Southern California Keck School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amity Home Health, Inc Home health agency, Northridge, CA, CCN 058268
• Dedicated Hospice Care, Inc Hospice, Granada Hills, CA, CCN 751515
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
• Chatsworth Park Health Care Center Nursing home, Chatsworth, CA, CCN 056351
• Woodland Care Center Nursing home, Reseda, CA, CCN 056066
• Granada Hills Convalescent Nursing home, Granada Hills, CA, CCN 056168

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amity Home Health Inc

  • Home Health Agency
  • Northridge, CA
  • NPI 1114920931
  Care Compare affiliation
• Dedicated Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Granada Hills, CA
  • NPI 1174897771
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Granada Hills Convalescent Hospital, Inc

  • Skilled Nursing Facility
  • Granada Hills, CA
  • NPI 1871670083

  Nursing home

  Care Compare affiliation
• Starburst Healthcare, Inc.

  • Skilled Nursing Facility
  • Chatsworth, CA
  • NPI 1881307346

  Nursing home

  Care Compare affiliation
• Woodland Care Center, LLC

  • Skilled Nursing Facility
  • Reseda, CA
  • NPI 1427049816

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1124066436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SANTA YNEZ AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632387",
            "telephone_number": "818-701-0551",
            "fax_number": "818-701-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18417 NORDHOFF ST",
            "address_2": "SUITE# B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252200",
            "telephone_number": "818-701-0551",
            "fax_number": "818-701-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "156153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G44486",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Behavioral Care California
• Comprehensive Hospice Services LLC
• Brandy Melanie Compton
• Concierge Hospice Corporation
• Stephanie Noelia Condori, MS
• Connect Healthcare LLC
• Constellation Home Health Services, LLC
• Maribel Michaela Contreras Valles
• Brenda Contreras, LCSW
• Claudia Contreras

• Adult Medicine Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.