Natasha Georgina Thomas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A115473 Issued in CA

Practice address

19400 Beach Blvd
Unit 11
Huntington Beach, CA 92648-2500

Phone

(714) 968-1222

Fax

(714) 968-1777

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Natasha Georgina Trifunovic Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1528268802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19400 BEACH BLVD",
            "address_2": "UNIT 11",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482500",
            "telephone_number": "714-968-1222",
            "fax_number": "714-968-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 BEACH BLVD",
            "address_2": "UNIT 11",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482500",
            "telephone_number": "714-968-1222",
            "fax_number": "714-968-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NATASHA",
        "middle_name": "GEORGINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "642-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB212834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "TRIFUNOVIC",
            "middle_name": "GEORGINA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Thomas, RD
• Hayley Alyssa Thomas, DC
• John Thomas, CMT
• Katarina Anderson Thomas, LMFT
• La'Trena Thomas
• Sean Thomas, DC
• Thomasjduncan
• Thompson Chiropractic, Professional Corporation (Asher Chiropractic)
• Aaron Thompson, D.C.
• Gretchen Edith Thompson, LMFT

• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.