Individual provider Active NPI

Thomas Cox

  • Radiography Radiologic Technologist
  • Canyon Country, CA
National Provider Identifier
1477220994
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
561923 Issued in CA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
56923OtherCACALIFORNIA 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

LicenseStateTypeSpecialty
00107896CAMDRadiography Radiologic Technologist
561923CAMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
SCV Mobile Xray LLC CurrentSince Aug 29, 2021 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.

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.

Verify at the official NPI Registry.