Individual provider Active NPI

Andrew Hok San Thio, MD

  • Anesthesiology Physician
  • Murrieta, CA
National Provider Identifier
1356310957
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G75296 Issued in CA
Practice address
41670 Ivy St
Suite B
Murrieta, CA 92562-9432
Phone
(951) 600-7702
Fax
(951) 600-5987
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G75296 CA Primary
Pain Medicine Physician 208VP0000X G75296 CA

Addresses

Primary practice location

41670 Ivy St
Suite B
Murrieta, CA 92562-9432

Mailing address

41670 Ivy St
Suite B
Murrieta, CA 92562-9432
Phone (951) 600-7702

Other identifiers 2

IdentifierTypeStateIssuer
00G752960MedicaidCA
050076016OtherRAILROAD MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000635 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4789777566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Loma Linda University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41670 Ivy St
Suite B
Murrieta, CA 92562-9433
Phone (951) 600-7702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75296CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1356310957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41670 IVY ST",
            "address_2": "SUITE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629432",
            "telephone_number": "951-600-7702",
            "fax_number": "951-600-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41670 IVY ST",
            "address_2": "SUITE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629432",
            "telephone_number": "951-600-7702",
            "fax_number": "951-600-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIO",
        "first_name": "ANDREW",
        "middle_name": "HOK SAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G75296",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G75296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G752960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050076016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.