Sandra Marie Thong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108896 Issued in CA

Practice address

1000 E Washington Blvd Ste 112
Los Angeles, CA 90021-3070

Phone

(213) 973-5180

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Darren DO Dental Corporation

  • General Practice Dentistry
  • Vista, CA
  • NPI 1043305998
  NPD (past)
• Rogers and Reagan Dental Corporation

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1275627051
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1457030553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N OLIVE AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011339",
            "telephone_number": "626-320-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213070",
            "telephone_number": "213-973-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 S Melrose Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816661",
            "country_code": "US",
            "telephone_number": "760-758-7580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 College Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920575436",
            "country_code": "US",
            "telephone_number": "760-631-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THONG",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Alexandra Thomson, LCSW
• Louise Ej Thomson, MD
• Michelle Kari Kanani Thomson, AMFT
• Salina Thon, NP
• Brian Thong, LCSW
• Joshua Noel Thorburn, PHARMD
• Laura Thorburn, MA CCC SLP
• Danielle Nicole Thordarson, MD
• David B. Thordarson, M.D.
• Austin Louis Thorimbert, LPT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.