Individual provider Active NPI

Paul Thompson

  • Assisted Living Facility (Mental Illness)
  • Santa Clarita, CA
National Provider Identifier
1467298331
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
197609887 Issued in CA
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

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
197609887CAMDAssisted Living Facility (Mental Illness)
197610180CAMDAssisted 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.

Verify at the official NPI Registry.