Thomas L Atlas, MD

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

G74535 Issued in CA

Practice address

13422 Newport Ave
Suite I
Tustin, CA 92780-3746

Phone

(714) 665-6900

Fax

(714) 665-6904

NPI assigned

Jun 3, 2006

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Family Radiology Inc.

  • Body Imaging Physician
  • Torrance, CA
  • NPI 1164631081
  Medicare reassignment NPD
• Tustin Teleradiology Medical Group Inc.

  • Radiography Radiologic Technologist
  • Tustin, CA
  • NPI 1326086703
  Authorized official Same address or phone
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Department of State Hospitals

  dba Department of State Hospitals - Napa

  • Psychiatric Hospital
  • Napa, CA
  • NPI 1326098161
  NPD
• Portable Quality Ultrasound

  • Mobile Radiology Clinic/Center
  • Lindsay, CA
  • NPI 1659532026
  NPD
• Sirius Imaging Inc

  • Diagnostic Ultrasound Physician
  • Panorama City, CA
  • NPI 1821589151
  NPD
• US Mobile Imaging

  • Mobile Radiology Clinic/Center
  • Las Vegas, NV
  • NPI 1730573270
  NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1346288321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13422 NEWPORT AVE",
            "address_2": "SUITE I",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803746",
            "telephone_number": "714-665-6900",
            "fax_number": "714-665-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 NEWPORT AVE",
            "address_2": "SUITE I",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803746",
            "telephone_number": "714-665-6900",
            "fax_number": "714-665-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLAS",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "G74535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "00G745350",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G745350",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002082232",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Deana Assaf, D.D.S.
• Jafar Assaf, DDS
• Assist Medical Services
• Associated Physicians of Orange County
• Athome Healthcare
• Lydia Oh Au, L.AC
• Chris Aufdemberg, DDS
• Thomas William Aufdemberg, D.D.S.
• Jason William Austin, MFT
• Julie Ann Austin, CMT

• Radiography Radiologic Technologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Radiography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.