Individual provider Active NPI

Cheryl Emily Thompson, M.D.

  • Family Medicine Physician
  • Vista, CA
National Provider Identifier
1548429863
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A102687 Issued in CA
Practice address
134 Grapevine Rd
Vista, CA 92083-4004
Phone
(760) 631-5000
Fax
(760) 414-3892
NPI assigned
Jun 2, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X A102687 CA
Family Medicine Physician 207Q00000X A102687 CA Primary

Addresses

Primary practice location

134 Grapevine Rd
Vista, CA 92083-4004

Mailing address

1000 Vale Terrace Dr
VCC - Grapevine
Vista, CA 92084-5218
Phone (760) 631-5000

Other practice location 1

201 S Harbor Blvd
LA Habra, CA 90631-5654
Phone (562) 264-6000

Other practice location 2

4700 N River Rd
Oceanside, CA 92057-6043
Phone (760) 631-5000

Other practice location 3

134 Grapevine Rd
VCC - Grapevine
Vista, CA 92083-4004
Phone (760) 631-5030 ext. 2218

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
I20091116000070 CA Practitioner - Family Practice 3476691205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Community ClinicGroup PAC ID 0042120156, shared by 5 NPIs, 44 clinicians
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare General Practice CurrentSince Aug 9, 2018 Accepting new patients
Neighborhood Healthcare General Practice CurrentSince Aug 9, 2018 Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

460 N Elm St
Escondido, CA 92025
Phone (760) 520-8100

488 E Valley Pkwy
Ste 411
Escondido, CA 92025
Phone (760) 525-1079

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548429863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "address_2": "VCC - GRAPEVINE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GRAPEVINE RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920834004",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906315654",
            "country_code": "US",
            "telephone_number": "562-264-6000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576043",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Grapevine Rd",
            "address_2": "VCC - Grapevine",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920834004",
            "country_code": "US",
            "telephone_number": "760-631-5030 x2218",
            "fax_number": "760-414-3754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHERYL",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "A102687",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.