Individual provider Active NPI

James David Thompson, MD

  • Emergency Medicine Physician
  • Arvada, CO
National Provider Identifier
1457304602
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20307 Issued in CO
Practice address
11115 W 85TH PL
Arvada, CO 80005-5200
Phone
(303) 940-2544
NPI assigned
May 18, 2006
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20307 CO Primary

Addresses

Primary practice location

11115 W 85TH PL
Arvada, CO 80005-5200

Mailing address

11115 W 85TH PL
Arvada, CO 80005-5200
Phone (303) 940-2544

Other identifiers 2

IdentifierTypeStateIssuer
01203074MedicaidCO
930002081OtherRR MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jthompson196675@oc.providencedirect.org
Direct Messaging Address jthompson196675@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000783 CA Practitioner - Emergency Medicine 5193619435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262

1499 W 1St St
San Pedro, CA 90732-3255
Phone (310) 831-9482

2382 Crenshaw Blvd
Suite 5
Torrance, CA 90501-3333
Phone (310) 618-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Emergency Medicine CurrentSince Mar 31, 2011 Accepting new patients
Providence Medical Institute Emergency Medicine Current Accepting new patients
Hanford Community Hospital Past Accepting new patients
Carbon Health Primary Care of California PC PastSince May 1, 2023 Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

4314 W Slauson Ave
Los Angeles, CA 90043
Phone (323) 293-7171

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

520 N Prospect Ave
Ste 103
Redondo Beach, CA 90277
Phone (310) 374-9646

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-8200

3524 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 316-2055

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1457304602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 W 85TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055200",
            "telephone_number": "303-940-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 W 85TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055200",
            "telephone_number": "303-940-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "20307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01203074",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930002081",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthompson196675@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "21501 Avalon Blvd Ste 100",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907452210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthompson196675@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2382 Crenshaw Blvd Ste 5",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905013333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.