Individual provider Active NPI

Alyssa Jean Thomas, MD

  • Addiction Medicine (Family Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1518548346
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
194531 Issued in CA
Practice address
442 Crocker St
Los Angeles, CA 90013-2115
Phone
(213) 727-6717
Fax
(323) 693-0016
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 194531 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

442 Crocker St
Los Angeles, CA 90013-2115

Mailing address

7121 147TH St SW
Edmonds, WA 98026-3533

Other practice location 1

11332 Mountain View Ave
Westerly Bldg. Suite C
Loma Linda, CA 92354-3854
Phone (909) 558-7622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717003623 CA Practitioner - Family Practice 7911306576 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194531CAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JWCH Institute Inc CurrentSince Jul 3, 2025 Accepting new patients
JWCH Institute, Inc. CurrentSince Jul 3, 2025 Accepting new patients
JWCH Institute Inc Current Accepting new patients

Locations

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

522 S San Pedro St
Los Angeles, CA 90013
Phone (213) 486-4085

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

Interoperability endpoints

  • Direct secure messaging: alyssa.thomasmd.p1@direct.jwch.nextgenshare.com
  • Direct secure messaging: athomas479380@direct.peacehealth.org
  • Direct secure messaging: athomas1191994@direct.llu.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1518548346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 147TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 CROCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132115",
            "telephone_number": "213-727-6717",
            "fax_number": "323-693-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11332 Mountain View Ave",
            "address_2": "Westerly Bldg. Suite C",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543854",
            "country_code": "US",
            "telephone_number": "909-558-7622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALYSSA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "194531",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.