Active NPI
Jill Diane Thompson
- Customized Equipment (DME)
- San Diego, CA
National Provider Identifier
1427246768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- FBH 100-970171
- Practice address
- 17027 San Antonio Rose CT
San Diego, CA 92127 - Phone
- (858) 829-4492
- Fax
- (858) 759-7903
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | FBH 100-970171 | CA | Primary |
Addresses
Primary practice location
17027 San Antonio Rose CT
San Diego, CA 92127
Mailing address
PO Box 5000
PMB 175
Rancho Santa Fe, CA 92067-5000
Phone (858) 829-4492
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FBH 100-970171 | CA | MD | Customized Equipment (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1427246768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5000",
"address_2": "PMB 175",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920675000",
"telephone_number": "858-829-4492",
"fax_number": "858-759-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17027 SAN ANTONIO ROSE CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "858-829-4492",
"fax_number": "858-759-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JILL",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "FBH 100-970171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.