Active NPI
Thomas Cox
- Radiography Radiologic Technologist
- Canyon Country, CA
National Provider Identifier
1477220994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 561923
- Practice address
- 18343 Oakmont Dr Apt 725
Canyon Country, CA 91387-6350 - Phone
- (661) 712-7407
- NPI assigned
- Aug 23, 2021
- Last updated
- Oct 14, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 00107896 | CA | |
| Radiography Radiologic Technologist | 2471C3402X | 561923 | CA | Primary |
Addresses
Primary practice location
18343 Oakmont Dr Apt 725
Canyon Country, CA 91387-6350
Mailing address
18343 Oakmont Dr Apt 725
Canyon Country, CA 91387-6350
Phone (661) 713-7407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56923 | Other | CA | CALIFORNIA RADIOLOGIC TECH |
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 |
|---|---|---|---|
| 00107896 | CA | MD | Radiography Radiologic Technologist |
| 561923 | CA | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCV Mobile Xray LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Thousand Oaks, CA
- NPI 1508533795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1477220994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18343 OAKMONT DR APT 725",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913876350",
"telephone_number": "661-713-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18343 OAKMONT DR APT 725",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913876350",
"telephone_number": "661-712-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-23",
"last_updated": "2021-10-14",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "00107896",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "561923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA RADIOLOGIC TECH",
"identifier": "56923",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.