Active NPI
Jessica Shane Thomas, M.D.
- Emergency Medicine Physician
- West Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A118566
- Practice address
- 7300 Medical Center Dr
West Hills, CA 91307-1902 - Phone
- (818) 676-4999
- NPI assigned
- Apr 28, 2010
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.206578 | LA | |
| Emergency Medicine Physician | 207P00000X | A118566 | CA | Primary |
Addresses
Primary practice location
7300 Medical Center Dr
West Hills, CA 91307-1902
Mailing address
PO Box 1551
Thousand Oaks, CA 91358-0551
Phone (805) 300-2904
Other practice location 1
600 S Pine St
Deridder, LA 70634-4942
Phone (805) 300-2904
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.64 of 100
- Quality
- 80.76
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118566 | CA | MD | Emergency Medicine Physician |
| MD.206578 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarzana Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301
Interoperability endpoints
- jthomas1271265@direct.uclahealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Tarzana, CA
- NPI 1235176702
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
-
- Emergency Medicine Physician
- West Hills, CA
- NPI 1275761249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1417274523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1551",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913580551",
"telephone_number": "805-300-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 MEDICAL CENTER DR",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071902",
"telephone_number": "818-676-4999"
}
],
"practiceLocations": [
{
"address_1": "600 S Pine St",
"address_purpose": "LOCATION",
"city": "Deridder",
"state": "LA",
"postal_code": "706344942",
"country_code": "US",
"telephone_number": "805-300-2904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JESSICA",
"middle_name": "SHANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.206578",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A118566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
- The Meadows Rcfe LLC
- The Regents of the University of California (UCLA Dept of Medicine)
- The Woundwell Medical Group Inc.
- Therapeutic Living Centers for the Blind, Inc.
- Therapeutic Livings Centers for the Blind, Inc.
- Thrifty Payless Inc (Rite Aid Pharmacy 05544)
- Tigalat Shalita D O Inc.
- Imelda Tio, M..D.
- Chris Tiyavaraboon, PTA
- Lisa Lynn Tolison, PHARMACY TECH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.