Active NPI
Mario Thomas
- Rehabilitation Practitioner
- North Hollywood, CA
National Provider Identifier
1245818442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 5335 Craner Ave
North Hollywood, CA 91601-3313 - Phone
- (818) 972-4045
- Fax
- (818) 927-4016
- NPI assigned
- Mar 30, 2021
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
5335 Craner Ave
North Hollywood, CA 91601-3313
Mailing address
1000 S Fremont Ave Unit 67
Alhambra, CA 91803-8891
Phone (626) 872-6632
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ASC Treatment Group | Current | Accepting new patients |
Locations
5335 Craner Ave
North Hollywood, CA 91601
Phone (818) 927-4045
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.
-
- Community/Behavioral Health Agency
- North Hollywood, CA
- NPI 1003942970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1245818442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE UNIT 67",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038891",
"telephone_number": "626-872-6632",
"fax_number": "626-872-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 CRANER AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013313",
"telephone_number": "818-972-4045",
"fax_number": "818-927-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.