Individual provider Active NPI

Thomas John Cachur Jr., D.O.

  • Obstetrics & Gynecology Physician
  • Corona, CA
National Provider Identifier
1225037047
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A9086 Issued in CA
Practice address
900 S Main St
Suite 209
Corona, CA 92882
Phone
(951) 735-6969
Fax
(951) 343-3483
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A9086 CA Primary

Addresses

Primary practice location

900 S Main St
Suite 209
Corona, CA 92882

Mailing address

1513 S Grand Ave Ste 320
Los Angeles, CA 90015-3075
Phone (213) 747-7307

Other practice location 1

900 S Main St
Suite 209
Corona, CA 92882-3401
Phone (951) 735-6969

Other practice location 2

4129 Gage Ave
Bell, CA 90201-1128
Phone (323) 771-8400

Other practice location 3

4455 W 117th St Ste 300
Hawthorne, CA 90250-2240
Phone (310) 645-0444

Other practice location 4

1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072
Phone (213) 743-9000

Other identifiers 1

IdentifierTypeStateIssuer
20A9086OtherCALICENCE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018001251 CA Practitioner - Obstetrics/Gynecology 1355367491 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9086CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Community Clinic CurrentSince Jul 26, 2018 Accepting new patients
Northeast Community Clinic Obstetrics & Gynecology Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2023 Accepting new patients
Northeast Community Clinic CurrentSince Jul 26, 2018 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

2550 W Main St
Ste 301
Alhambra, CA 91801
Phone (626) 457-6900

4129 Gage Ave
Bell Gardens, CA 90201
Phone (323) 771-8400

4455 W 117th St
Ste 200
Hawthorne, CA 90250
Phone (310) 219-2000

4455 W 117th St
Ste 300
Hawthorne, CA 90250
Phone (310) 645-0444

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1414 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300

1414 S Grand Ave
Ste 200
Los Angeles, CA 90015
Phone (213) 742-6200

5420 N Figueroa St
Los Angeles, CA 90042
Phone (323) 256-3884

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Organizations & group practices 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1225037047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "213-747-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "address_2": "SUITE 209",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-735-6969",
            "fax_number": "951-343-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Main St",
            "address_2": "SUITE 209",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823401",
            "country_code": "US",
            "telephone_number": "951-735-6969",
            "fax_number": "951-343-3483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4129 Gage Ave",
            "address_purpose": "LOCATION",
            "city": "Bell",
            "state": "CA",
            "postal_code": "902011128",
            "country_code": "US",
            "telephone_number": "323-771-8400",
            "fax_number": "323-771-5215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 W 117th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902502240",
            "country_code": "US",
            "telephone_number": "310-645-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Grand Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153072",
            "country_code": "US",
            "telephone_number": "213-743-9000",
            "fax_number": "213-743-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACHUR",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "20A9086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.