Individual provider Active NPI

Mehdi Bubba Lou Thomas, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1548938467
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028610 Issued in CA
Practice address
320 Pine Ave Ste 1030
Long Beach, CA 90802-2366
Phone
(424) 634-8920
NPI assigned
Sep 3, 2021
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028610 CA Primary

Addresses

Primary practice location

320 Pine Ave Ste 1030
Long Beach, CA 90802-2366

Mailing address

320 Pine Ave Ste 1030
Long Beach, CA 90802-2366
Phone (424) 634-8920

Other practice location 1

2 N Central Ave Suite 1800
Phoenix, AZ 85004-4406
Phone (310) 360-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240227002487 CA Practitioner - Nurse Practitioner 0648615906 Reassigns benefits to 1 organization
I20240321003821 KY Practitioner - Nurse Practitioner 0648615906
I20250722004348 FL Practitioner - Nurse Practitioner 0648615906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thomas Health Services IncGroup PAC ID 1355748021, 32 clinicians

Practice addresses (Care Compare)

1500 Rosecrans Ave
Suite 500
Manhattan Beach, CA 90266-3771
Phone (310) 360-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Medical Corporation Single Specialty CurrentSince Jan 21, 2024 Accepting new patients
Thomas Health Services Florida P.a. Single Specialty CurrentSince May 17, 2025 Accepting new patients
Thomas Health Services Inc Single Specialty CurrentSince Feb 12, 2024 Accepting new patients

Locations

320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200

11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757

1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936

1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200

402 W Broadway
Fl 4
San Diego, CA 92101

1221 Brickell Ave
Ste 900
Miami, FL 33131
Phone (310) 360-7200

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1548938467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 1030",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022366",
            "telephone_number": "424-634-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 1030",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022366",
            "telephone_number": "424-634-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 N Central Ave Suite 1800",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850044406",
            "country_code": "US",
            "telephone_number": "310-360-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MEHDI",
        "middle_name": "BUBBA LOU",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.