Individual provider Active NPI

Deonza Nicole Thymes, M.D.

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1336175611
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0107654 Issued in MD
Practice address
3858 W Carson St
Suite 121
Torrance, CA 90503-6709
Phone
(310) 543-9333
Fax
(310) 405-0954
NPI assigned
Jun 25, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A88766 CA
Emergency Medicine Physician 207P00000X 0101259412 VA
Emergency Medicine Physician 207P00000X A88766 CA
Emergency Medicine Physician 207P00000X 55813 KY
Emergency Medicine Physician 207P00000X D0107654 MD Primary

Addresses

Primary practice location

3858 W Carson St
Suite 121
Torrance, CA 90503-6709

Mailing address

1601 N Sepulveda Blvd # 144
Manhattan Beach, CA 90266-5111
Phone (323) 972-2445

Other practice location 1

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, IN, NC, TX, KY, DC7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20051121000656 CA Practitioner - Emergency MedicinePractitioner - General Practice 1153340039 Reassigns benefits to 3 organizations
I20160125000000 VA Practitioner - Emergency Medicine 1153340039 Reassigns benefits to 5 organizations
I20180130002037 IN Practitioner - Emergency Medicine 1153340039
I20190403000822 NC Practitioner - Emergency Medicine 1153340039 Reassigns benefits to 8 organizations
I20210423001021 TX Practitioner - Emergency Medicine 1153340039 Reassigns benefits to 3 organizations
I20210901000468 KY Practitioner - Emergency Medicine 1153340039 Reassigns benefits to 1 organization
I20220124002429 DC Practitioner - Emergency Medicine 1153340039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8101

1850 Bluegrass Ave
Louisville, KY 40215-1199
Phone (502) 361-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88766CAMDSpecialist
55813KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Novant Health Thomasville Medical Center, LLC Specialist CurrentSince May 20, 2019 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 19, 2021 Accepting new patients
Tanglewood Park Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Specialist CurrentSince May 20, 2019 Accepting new patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Nov 2, 2022 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Redondo Emergency Physicians, Inc. Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 1, 2022 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince May 20, 2019 Accepting new patients
Brunswick Community Hospital, LLC CurrentSince May 20, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 19, 2021 Accepting new patients
Kernersville Emergency Group, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince May 20, 2019 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Healthfly Incorporated PastSince Sep 1, 2009 Accepting new patients
Apexx Physicians Medical Past Accepting new patients
Owensboro Health Medical Group, Inc Emergency Medicine Past Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients
Gardena Emergency Medical Associates Inc Emergency Medicine Past Accepting new patients
Brunswick Community Hospital, LLC PastSince Oct 13, 2024 Accepting new patients

Locations (25 of 32)

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: dthymes@unionhealth.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1336175611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N SEPULVEDA BLVD # 144",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665111",
            "telephone_number": "323-972-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST",
            "address_2": "SUITE 121",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036709",
            "telephone_number": "310-543-9333",
            "fax_number": "310-405-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903204",
            "country_code": "US",
            "telephone_number": "240-686-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THYMES",
        "first_name": "DEONZA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88766",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101259412",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A88766",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "55813",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0107654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.