NPIMap

Individual provider Active NPI

John Thueson, DO

  • Diagnostic Radiology Physician
  • Apple Valley, CA
National Provider Identifier
1497109995
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A17713 Issued in CA
Practice address
19111 Town Center Dr
Apple Valley, CA 92308-8989
Phone
(760) 699-2900
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A17713 CA Primary

Addresses

Primary practice location

19111 Town Center Dr
Apple Valley, CA 92308-8989

Mailing address

19111 Town Center Dr
Apple Valley, CA 92308-8989
Phone (760) 699-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801001376 CA Practitioner - Diagnostic Radiology 8022479559 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians

Practice addresses (Care Compare)

206 Coral Rose
Irvine, CA 92603-0162
Phone (626) 244-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17713CAMDDiagnostic Radiology Physician
17713CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Krishna Das MD Inc. Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Megha Nayyar Gupta MD Inc. Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
Rahul Nayyar MD Inc Diagnostic Radiology CurrentSince Jul 25, 2024 Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Menalam Health Services PC Past Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1497109995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-699-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-699-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUESON",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A17713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.