Active NPI
Casey Jean Thompson
- Physician Assistant
- Rancho Cucamonga, CA
National Provider Identifier
1528416005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53744
- Practice address
- 8237 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0716 - Phone
- (909) 477-3310
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 53744 | CA | Primary |
Addresses
Primary practice location
8237 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0716
Mailing address
8237 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0716
Phone (909) 477-3310
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53744 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Primary Medical Inc | Past | Accepting new patients | |
| Chino Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
| Planned Parenthood of the Pacific Southwest | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Chino, CA
- NPI 1790730786
Physician Assistant
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1427081652
-
- Geriatric Medicine (Family Medicine) Physician
- Apple Valley, CA
- NPI 1043508559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1528416005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8237 ROCHESTER AVE",
"address_2": "SUITE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300716",
"telephone_number": "909-477-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8237 ROCHESTER AVE",
"address_2": "SUITE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300716",
"telephone_number": "909-477-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CASEY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.