Thankarajam Jothikumar, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A31143 Issued in CA

Practice address

1535 N China Lake Blvd Ste a
Ridgecrest, CA 93555-2667

Phone

(760) 446-1691

Fax

(760) 446-1642

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: thankarajam.jothikumar.1@23708.direct.athenahealth.com
• Direct secure messaging: thankarajamjothikumar@rrh.medalliesdirect.net

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.

• Sivalingam Medical Corporation Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1164437042

  Specialist

  Medicare reassignment NPD
• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1417962291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N CHINA LAKE BLVD STE A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552667",
            "telephone_number": "760-446-1691",
            "fax_number": "760-446-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N CHINA LAKE BLVD STE A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552667",
            "telephone_number": "760-446-1691",
            "fax_number": "760-446-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOTHIKUMAR",
        "first_name": "THANKARAJAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A31143",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thankarajamjothikumar@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1081 N China Lake Blvd",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935553130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randi Rene Johnson
• Travis William Johnson, C.R.N.A.
• Wanda Johnson
• Jill Johnston, AGACNP-BC
• Rose M Jones, LVN
• Young Jung
• Kain Kumar MD Inc
• Megan Joy Kajiwara, WHNP
• Jurian Feygen Kaunang, MD
• Jessika Keller

• Specialist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.