Active NPI
Irina Thomas, NP
- Family Nurse Practitioner
- Azusa, CA
National Provider Identifier
1336434950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19907
- Practice address
- 701 E Foothill Blvd
Azusa, CA 91702-2606 - Phone
- (626) 815-5386
- NPI assigned
- Jun 11, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19907 | CA | Primary |
Addresses
Primary practice location
701 E Foothill Blvd
Azusa, CA 91702-2606
Mailing address
901 E Alosta Ave
P.O. Box 7000
Azusa, CA 91702-2701
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19907 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1336434950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E ALOSTA AVE",
"address_2": "P.O. BOX 7000",
"city": "AZUSA",
"state": "CA",
"postal_code": "917022701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E FOOTHILL BLVD",
"city": "AZUSA",
"state": "CA",
"postal_code": "917022606",
"telephone_number": "626-815-5386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "IRINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-11",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "19907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.