Active NPI
Ronald W Thompson, MD
- Radiation Oncology Physician
- Santa Monica, CA
National Provider Identifier
1427033646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G12376
- Practice address
- 2121 Santa Monica Blvd
Santa Monica, CA 90404-2303 - Phone
- (310) 829-8913
- Fax
- (310) 315-6168
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G12376 | CA | Primary |
Addresses
Primary practice location
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514
Other practice location 1
3531 Fashion Way
Torrance, CA 90503-4807
Phone (310) 316-2424
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WG12376K | Other | CA | MEDICARE EL CEN |
| 00G123760 | Medicaid | CA | |
| 00G123761 | Other | CA | MEDICARE TEM |
| WG12376F | Other | CA | MEDICARE SJHC |
| WG12376I | Other | CA | MEDICARE LCM |
| WG12376J | Other | CA | MEDICARE SAN PEDRO |
| WG12376C | Other | CA | MEDICARE VROC |
| 00G123762 | Other | CA | MEDICARE SBMC |
| G12376 | Other | CA | MEDICAL LICENSE |
| WG12376G | Other | CA | MEDICARE - SJMC |
| 00G123761 | Other | CA | MEDICARE RIV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12376 | CA | MD | Radiation Oncology Physician |
| 12376 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Radiotherapy Associates Medical Group Inc | Radiation Oncology | Past | Accepting new patients |
Interoperability endpoints
- rthompson11070@cityofhope.direct-ci.com
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.
-
- Radiation Oncology Physician
- Fullerton, CA
- NPI 1255594925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1427033646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185",
"telephone_number": "626-775-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042303",
"telephone_number": "310-829-8913",
"fax_number": "310-315-6168"
}
],
"practiceLocations": [
{
"address_1": "3531 Fashion Way",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905034807",
"country_code": "US",
"telephone_number": "310-316-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "RONALD",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G12376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE EL CEN",
"identifier": "WG12376K",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G123760",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TEM",
"identifier": "00G123761",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SJHC",
"identifier": "WG12376F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LCM",
"identifier": "WG12376I",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SAN PEDRO",
"identifier": "WG12376J",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE VROC",
"identifier": "WG12376C",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SBMC",
"identifier": "00G123762",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G12376",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - SJMC",
"identifier": "WG12376G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RIV",
"identifier": "00G123761",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"address_1": "2121 Santa Monica Blvd",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904042303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.