Active NPI
Joel Thomas, PA
- Physician Assistant
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA64153
- Practice address
- 15706 Pomerado Rd Ste 206
Poway, CA 92064-2033 - Phone
- (858) 321-3133
- NPI assigned
- Nov 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA64153 | CA | Primary |
Addresses
Primary practice location
15706 Pomerado Rd Ste 206
Poway, CA 92064-2033
Mailing address
3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (510) 879-9200
Other practice location 1
3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (510) 879-9200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250703000968 | CA | Practitioner - Physician Assistant | 9133632979 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1905 Calle Barcelona
Suite 211
Carlsbad, CA 92009-8452
Phone (858) 766-6007
314 S Twin Oaks Valley Rd
Suite 114
San Marcos, CA 92078-4390
Phone (442) 372-2330
3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855
477 N El Camino Real
Suite A200
Encinitas, CA 92024-1350
Phone (858) 766-6007
665 San Rodolfo Dr
Suite 110
Solana Beach, CA 92075-2047
Phone (858) 266-9551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64153 | CA | MD | Dentist |
| PA64153 | CA | MD | Physician Assistant |
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": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1144095993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093239",
"telephone_number": "510-879-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15706 POMERADO RD STE 206",
"city": "POWAY",
"state": "CA",
"postal_code": "920642033",
"telephone_number": "858-321-3133"
}
],
"practiceLocations": [
{
"address_1": "3100 Telegraph Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093239",
"country_code": "US",
"telephone_number": "510-879-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JOEL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-21",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.