Organization Active NPI

Thrive la Medical Clinic

  • General Practice Physician
  • Vernon, CA
National Provider Identifier
1225964323
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THRIVE LA MEDICAL CLINIC
Practice address
4221 S Alameda St
Vernon, CA 90058-1601
Phone
(213) 515-9069
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Brownell H Payne, MD
Title
Ceo/Owner
Phone
(213) 515-9069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4221 S Alameda St
Vernon, CA 90058-1601

Mailing address

4221 S Alameda St
Vernon, CA 90058-1601
Phone (213) 515-9069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1225964323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S ALAMEDA ST",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900581601",
            "telephone_number": "213-515-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S ALAMEDA ST",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900581601",
            "telephone_number": "213-515-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE LA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "BROWNELL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "213-515-9069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.