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

Last updated

Feb 11, 2015By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dignity Community Care

  dba Northridge Hospital Medical Center

  • 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

  dba Northridge Hospital Medical Center

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

  dba Granada Hills Care Center

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

  Nursing home

  Care Compare affiliation
• Starburst Healthcare, Inc.

  dba Chatsworth Park Health Care Center

  • Skilled Nursing Facility
  • Chatsworth, CA
  • NPI 1881307346

  Nursing home

  Care Compare affiliation
• Woodland Care Center, LLC

  dba Woodland Care Center

  • 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": [],
    "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.