Individual provider Active NPI

Christopher Forrest Thompson, M.D.

  • Specialist
  • Mission Viejo, CA
National Provider Identifier
1558650945
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A116862 Issued in CA
Practice address
26726 Crown Valley Pkwy #200
Mission Viejo, CA 92691-8003
Phone
(949) 364-4361
Fax
(949) 364-4495
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A116862 CA Primary

Addresses

Primary practice location

26726 Crown Valley Pkwy #200
Mission Viejo, CA 92691-8003

Mailing address

26726 Crown Valley Pkwy #200
Mission Viejo, CA 92691-8003
Phone (949) 364-4361

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
I20150717002326 CA Practitioner - Otolaryngology 6608189782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Head and Neck Associates of Orange County an IncorprateGroup PAC ID 0547211518, 16 clinicians

Practice addresses (Care Compare)

26726 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-8003
Phone (949) 364-4361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116862CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Associates of Orange County an Incorprate Specialist CurrentSince Aug 1, 2015 Accepting new patients
Mission Hospital, Inc. Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627
Phone (949) 276-4008

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

26726 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 264-4361

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cthompson889123@oc.providencedirect.org
  • Direct secure messaging: christopher.thompson.p19@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1558650945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY #200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY #200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A116862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.