Active NPI
Rex E Thornhill, DPM
- Podiatrist
- Paso Robles, CA
National Provider Identifier
1376526020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3592
- Practice address
- 806 9TH St.
Suite 2C
Paso Robles, CA 93446 - Phone
- (805) 239-3136
- Fax
- (805) 239-3137
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000E3592 | CA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0263310002 | CA | |
| Podiatrist | 213E00000X | E3592 | CA | Primary |
Addresses
Primary practice location
806 9TH St.
Suite 2C
Paso Robles, CA 93446
Mailing address
806 9TH St
Suite 2C
Paso Robles, CA 93446
Phone (805) 239-3136
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E35920 | Medicaid | CA | |
| E3592 | Other | CA | BLUE CROSS PIN |
| 000E35920 | Other | CA | BLUE SHIELD PIN |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081118000830 | CA | Practitioner - Podiatry | 4082774229 | Practice locations: Paso Robles, CA; Stockton, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
806 9TH St
2C
Paso Robles, CA 93446-5550
Phone (805) 239-3136
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000E3592 | CA | MD | Podiatrist |
| E3592 | CA | MD | Podiatrist |
| 3592 | CA | MD | Occupational Therapy Assistant |
| 0263310002 | CA | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy I Mounts, M.D.,Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1376526020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 9TH ST",
"address_2": "SUITE 2C",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-239-3136",
"fax_number": "805-239-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 9TH ST.",
"address_2": "SUITE 2C",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-239-3136",
"fax_number": "805-239-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNHILL",
"first_name": "REX",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "000E3592",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "0263310002",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E35920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "E3592",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN",
"identifier": "000E35920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.