Individual provider Active NPI

Jotika P. Thompson, M.D.

  • Hematology & Oncology Physician
  • Van Nuys, CA
National Provider Identifier
1265626360
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C146990 Issued in CA
Practice address
15211 Vanowen St Ste 300
Van Nuys, CA 91405-3617
Phone
(818) 574-3798
Fax
(844) 809-9305
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101236699 VA
Hematology & Oncology Physician 207RH0003X C146990 CA Primary

Addresses

Primary practice location

15211 Vanowen St Ste 300
Van Nuys, CA 91405-3617

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 254-0046

Other practice location 1

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-5431

Other identifiers 1

IdentifierTypeStateIssuer
C146990OtherCALICENSE

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
I20171227001929 CA Practitioner - Hematology/Oncology 9931122850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Los Angeles Hematology-Oncology Medical GroupGroup PAC ID 6608819594, 51 clinicians

Practice addresses (Care Compare)

15211 Vanowen St
Suite 300
Van Nuys, CA 91405-3617
Phone (818) 782-4104

Hospital & facility affiliations

  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C146990CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Nov 20, 2017 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Nov 20, 2017 Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Inova Health System Past Accepting new patients
Dignity Community Care Past Accepting new patients
Inova Health Care Services Past Accepting new patients

Locations

3808 W Riverside Dr
Ste 302
Burbank, CA 91505
Phone (323) 254-0046

541 W Colorado St
Ste 205
Glendale, CA 91204
Phone (323) 254-0046

1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

1300 N Vermont Ave
Ste 903
Los Angeles, CA 90027
Phone (213) 570-8404

11550 Indian Hills Rd
Ste 211
Mission Hills, CA 91345
Phone (323) 410-9827

18251 Roscoe Blvd
Ste 101
Northridge, CA 91325
Phone (818) 349-2503

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

5525 Etiwanda Ave
Ste 200
Tarzana, CA 91356
Phone (818) 528-1290

23441 Madison St
Ste 215
Torrance, CA 90505
Phone (310) 791-5577

15211 Vanowen St
Ste 300
Van Nuys, CA 91405
Phone (818) 782-4104

6850 Sepulveda Blvd
Ste 211
Van Nuys, CA 91405
Phone (818) 994-0101

15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy.et0816.epichosted.com/FHIRProxyPRD/api/FHIR/R4

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1265626360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043640",
            "telephone_number": "323-254-0046",
            "fax_number": "323-488-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053617",
            "telephone_number": "818-574-3798",
            "fax_number": "844-809-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18300 Roscoe Blvd",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913254105",
            "country_code": "US",
            "telephone_number": "818-885-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOTIKA",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101236699",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C146990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C146990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.