Individual provider Active NPI

Billy J Thornton

  • Psychiatric/Mental Health Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1346691714
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020726 Issued in CA
Practice address
27699 Jefferson Ave Ste 111
Temecula, CA 92590-2697
Phone
(855) 427-2778
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 901646 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020726 CA Primary

Addresses

Primary practice location

27699 Jefferson Ave Ste 111
Temecula, CA 92590-2697

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160907002606 MS Practitioner - Nurse Practitioner 2769778331 Reassigns benefits to 1 organization
I20220808001269 MA Practitioner - Nurse Practitioner 2769778331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020726CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Fuller Inc Psychiatric/Mental Health CurrentSince Jun 13, 2022 Accepting new patients
Forrest County General Hospital CurrentSince Jul 12, 2016 Accepting new patients
Forrest County General Hospital CurrentSince Jul 12, 2016 Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Jun 12, 2022 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health PastSince Jun 12, 2022 Accepting new patients

Locations

200 May St
South Attleboro, MA 02703
Phone (508) 761-8500

2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050

1 Lincoln Pkwy
Ste 202
Hattiesburg, MS 39402
Phone (601) 288-8050

Organizations & group practices 5

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1346691714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902697",
            "telephone_number": "855-427-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "BILLY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901646",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.