NPIMap

Organization Active NPI

Robert E Thompsonmd a Professional Corporation

  • Pulmonary Disease Physician
  • Northridge, CA
National Provider Identifier
1275564833
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G30548 Issued in CA
Legal business name
ROBERT E THOMPSONMD A PROFESSIONAL CORPORATION
Doing business as
Robert E Thompson MD a Professional Corporation
Practice address
17075 Devonshire St
Suite 205
Northridge, CA 91325-1600
Phone
(818) 365-6489
Fax
(818) 361-7635
NPI assigned
Jul 5, 2006
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Robert E Thompson, MDNPI 1982675666
Title
MD/Owner
Phone
(818) 365-6489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X G30548 CA Primary

Addresses

Primary practice location

17075 Devonshire St
Suite 205
Northridge, CA 91325-1600

Mailing address

17075 Devonshire St
Suite 205
Northridge, CA 91325-1600
Phone (818) 365-6489

Other identifiers 1

IdentifierTypeStateIssuer
00G305480MedicaidCA

Other names 1

  • ROBERT E THOMPSON MD A PROFESSIONAL CORPORATION Doing business as

National Provider Directory

National Provider Directory

Locations

14124 Foothill Blvd
#200
Sylmar, CA 91342
Phone (818) 367-1012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1275564833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-365-6489",
            "fax_number": "818-361-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-365-6489",
            "fax_number": "818-361-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E THOMPSONMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "818-365-6489",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G30548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G305480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT E THOMPSON MD A PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.