Individual provider Active NPI

Kathleen Thornber, OTC

  • Orthopedic Assistant
  • San Diego, CA
National Provider Identifier
1548781727
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic AssistantTaxonomy code 246ZX2200X
License
14-0817 Issued in CA
Practice address
4910 Directors PL Ste 350
San Diego, CA 92121-3834
Phone
(858) 346-7171
Fax
(858) 453-7314
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X 14-0817 CA Primary

Addresses

Primary practice location

4910 Directors PL Ste 350
San Diego, CA 92121-3834

Mailing address

4910 Directors PL Ste 350
San Diego, CA 92121-3834
Phone (858) 346-7171

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

State licenses

LicenseStateTypeSpecialty
14-0817CAMDOrthopedic Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kthornber38272@scrippshlth.medalliesdirect.net

Organizations & group practices 1

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548781727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213834",
            "telephone_number": "858-346-7171",
            "fax_number": "858-453-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213834",
            "telephone_number": "858-346-7171",
            "fax_number": "858-453-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBER",
        "first_name": "KATHLEEN",
        "credential": "OTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "CA",
            "license": "14-0817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.