Active NPI
Thomas Shelton Powers, M.D.
- Pain Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1275846552
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- G15640
- Practice address
- 18821 Delaware St
#205
Huntington Beach, CA 92648-1926 - Phone
- (714) 903-4570
- Fax
- (714) 903-4571
- NPI assigned
- Jul 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | G15640 | CA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G15640 | CA |
Addresses
Primary practice location
18821 Delaware St
#205
Huntington Beach, CA 92648-1926
Mailing address
412 Olive Ave # 489
Huntington Beach, CA 92648-5142
Phone (714) 903-4570
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G15640 | CA | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1275846552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 OLIVE AVE # 489",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485142",
"telephone_number": "714-903-4570",
"fax_number": "714-903-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18821 DELAWARE ST",
"address_2": "#205",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481926",
"telephone_number": "714-903-4570",
"fax_number": "714-903-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "THOMAS",
"middle_name": "SHELTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G15640",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "G15640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.