Individual provider Active NPI

Chinwe J Thomas

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1407337140
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
20829 Anza Ave Apt 322
Torrance, CA 90503-4293
Phone
(424) 271-1241
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

20829 Anza Ave Apt 322
Torrance, CA 90503-4293

Mailing address

20829 Anza Ave Apt 322
Torrance, CA 90503-4293
Phone (424) 271-1241

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001880 CA Practitioner - Physician Assistant 0941742829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55888CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Monsignor Oscar a. Romero CurrentSince Apr 26, 2024 Accepting new patients
Clinica Monsignor Oscar a Romero CurrentSince Apr 26, 2024 Accepting new patients

Locations

123 S Alvarado St
Los Angeles, CA 90057
Phone (213) 989-7700

2032 Marengo St
Los Angeles, CA 90033
Phone (213) 989-7700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cthomas248569@direct.ochin.org

Organizations & group practices 2

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1407337140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20829 ANZA AVE APT 322",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034293",
            "telephone_number": "424-271-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20829 ANZA AVE APT 322",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034293",
            "telephone_number": "424-271-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHINWE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.