Individual provider Active NPI

Erin L Thompson, PA-C

  • Medical Physician Assistant
  • Ventura, CA
National Provider Identifier
1326670530
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA57154 Issued in CA
Practice address
2176 E Main St Ste 102
Ventura, CA 93001-3593
Phone
(805) 718-3434
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA57154 CA Primary

Addresses

Primary practice location

2176 E Main St Ste 102
Ventura, CA 93001-3593

Mailing address

186 Seaspray Way
Port Hueneme, CA 93041-3369
Phone (505) 801-4799

Other practice location 1

1280 S Victoria Ave Ste 250
Ventura, CA 93003-6521
Phone (805) 351-0745

Other practice location 2

13765 Browning Ave
Tustin, CA 92780-5213
Phone (505) 801-4799

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226002695 CA Practitioner - Physician Assistant 4183051493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA57154CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew L Bloom DO PC CurrentSince Nov 1, 2020 Accepting new patients
625 North a Street Oxnard Surgery Center, LLC PastSince Nov 1, 2020 Accepting new patients

Locations

1280 S Victoria Ave
Ste 250
Ventura, CA 93003
Phone (805) 351-0745

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1326670530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 SEASPRAY WAY",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413369",
            "telephone_number": "505-801-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 E MAIN ST STE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013593",
            "telephone_number": "805-718-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 S Victoria Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036521",
            "country_code": "US",
            "telephone_number": "805-351-0745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13765 Browning Ave",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927805213",
            "country_code": "US",
            "telephone_number": "505-801-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA57154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.