Active NPI
Paul Thompson
- Assisted Living Facility (Mental Illness)
- Santa Clarita, CA
National Provider Identifier
1467298331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- 197609887
- Practice address
- 26167 Via Raza
Santa Clarita, CA 91355-3343 - Phone
- (323) 919-9331
- NPI assigned
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | 197610180 | CA | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | 197609887 | CA | Primary |
Addresses
Primary practice location
26167 Via Raza
Santa Clarita, CA 91355-3343
Mailing address
25515 Chisom LN
Stevenson Ranch, CA 91381-1634
Phone (323) 919-9331
Other practice location 1
25690 Yucca Valley Rd
Santa Clarita, CA 91355-2439
Phone (323) 919-9331
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 |
|---|---|---|---|
| 197609887 | CA | MD | Assisted Living Facility (Mental Illness) |
| 197610180 | CA | MD | Assisted Living Facility (Mental Illness) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1467298331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25515 CHISOM LN",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811634",
"telephone_number": "323-919-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26167 VIA RAZA",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913553343",
"telephone_number": "323-919-9331"
}
],
"practiceLocations": [
{
"address_1": "25690 Yucca Valley Rd",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913552439",
"country_code": "US",
"telephone_number": "323-919-9331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "CA",
"license": "197610180",
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "CA",
"license": "197609887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.