Walter Thomas, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15198 Issued in CA

Practice address

12044 Braddock Dr
Culver City, CA 90230-5811

Phone

(310) 398-6408

NPI assigned

Sep 6, 2007

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHCHBA/Endpoint/EHCHBA

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.

• Montes Medical Group Inc

  • Internal Medicine Physician
  • Whittier, CA
  • NPI 1982873162
  Medicare reassignment
• Montes Medical Group Inc

  • Family Medicine Physician
  • Inglewood, CA
  • NPI 1093809592
  NPD
• Montes Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1437487956
  NPD

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1154516789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12044 BRADDOCK DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305811",
            "telephone_number": "310-398-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12044 BRADDOCK DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305811",
            "telephone_number": "310-398-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WALTER",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Thomas
• Julie Lynn Thomas
• Kali Thomas
• Nathaniel Thomas, PH.D
• Shanarron R Thomas
• Berea Thompkins
• Cheryl L Thompson, MPT
• Karieffe Thompson
• Pam Thompson
• Abigayle Thorn, M.S., BCBA

• Medical Physician Assistant in Culver City, CA
• Providers in Culver City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.