Active NPI
Alex Thayil Thomas
- Speech-Language Pathologist
- Downey, CA
National Provider Identifier
1124375035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22631
- Practice address
- 12023 Lakewood Blvd
Downey, CA 90242-2635 - Phone
- (562) 869-0978
- NPI assigned
- Aug 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22631 | CA | Primary |
Addresses
Primary practice location
12023 Lakewood Blvd
Downey, CA 90242-2635
Mailing address
3100 47TH Avenue #2120 D (2ND Floor)
Allied Medix Resources Inc.
Long Island City, NY 11101-2302
Phone (917) 995-7510
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22631 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1124375035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 47TH AVENUE #2120 D (2ND FLOOR)",
"address_2": "ALLIED MEDIX RESOURCES INC.",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012302",
"telephone_number": "917-995-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12023 LAKEWOOD BLVD",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422635",
"telephone_number": "562-869-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ALEX",
"middle_name": "THAYIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "22631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.