Organization Active NPI

John Carlos Thompson MD a Professional Corporation

  • Specialist
  • El Cajon, CA
National Provider Identifier
1306068903
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G83902 Issued in CA
Legal business name
JOHN CARLOS THOMPSON MD A PROFESSIONAL CORPORATION
Practice address
1625 E Main Street
Ste 201
El Cajon, CA 92021
Phone
(619) 593-1212
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
John Carlos Thompson, M.D.NPI 1770663890
Title
Physician,Owner
Phone
(619) 593-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G83902 CA Primary

Addresses

Primary practice location

1625 E Main Street
Ste 201
El Cajon, CA 92021

Mailing address

1625 E Main Street
Ste 201
El Cajon, CA 92021
Phone (619) 593-1212

Other identifiers 1

IdentifierTypeStateIssuer
00G839020MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306068903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E MAIN STREET",
            "address_2": "STE 201",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92021",
            "telephone_number": "619-593-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E MAIN STREET",
            "address_2": "STE 201",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92021",
            "telephone_number": "619-593-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CARLOS THOMPSON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PHYSICIAN,OWNER",
        "authorized_official_telephone_number": "619-593-1212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G839020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.