Active NPI
Thao Dinh Tomczyk, PA-C
- Medical Physician Assistant
- Corona, CA
National Provider Identifier
1306245519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 51783
- Practice address
- 341 Magnolia Ave Ste 201
Corona, CA 92879-3332 - Phone
- (951) 371-6979
- Fax
- (951) 371-5830
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 51783 | CA | Primary |
Addresses
Primary practice location
341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Mailing address
16118 Skyridge Dr
Riverside, CA 92503-5578
Phone (714) 624-5753
Other names 1
- Thao Dinh Truong
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51783 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Medical Group, Inc. | Physician Assistant | Past | Accepting new patients |
| Gage Pediatric Medical Corporation | Past | Accepting new patients | |
| Aspen Medical Group, Inc. | Physician Assistant | Past | Accepting new patients |
| Aspen Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
| Ahmc Greater El Monte Comm Hosp LLC | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients |
Organizations & group practices 6
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/Retail Pharmacy
- South El Monte, CA
- NPI 1922115526
-
- Obstetrics & Gynecology Physician
- Riverside, CA
- NPI 1295821296
Physician Assistant
-
- Obstetrics & Gynecology Physician
- Corona, CA
- NPI 1225304942
Physician Assistant
-
- Obstetrics & Gynecology Physician
- Moreno Valley, CA
- NPI 1578958047
Physician Assistant
-
- Pediatrics Physician
- Hanford, CA
- NPI 1962726109
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1306245519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16118 SKYRIDGE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035578",
"telephone_number": "714-624-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 MAGNOLIA AVE STE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928793332",
"telephone_number": "951-371-6979",
"fax_number": "951-371-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCZYK",
"first_name": "THAO",
"middle_name": "DINH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "51783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THAO",
"last_name": "TRUONG",
"middle_name": "DINH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.