Active NPI
Edward George Thrombley III, PA-C
- Physician Assistant
- Turlock, CA
National Provider Identifier
1558845859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55700
- Practice address
- 3800 Geer Rd # 200
Turlock, CA 95382-1146 - Phone
- (209) 668-3063
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- 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 | 55700 | CA | Primary |
Addresses
Primary practice location
3800 Geer Rd # 200
Turlock, CA 95382-1146
Mailing address
3800 Geer Rd # 200
Turlock, CA 95382-1146
Phone (209) 668-3063
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1660 W Yosemite Ave
Suite 4
Manteca, CA 95337-5194
Phone (925) 837-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
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.
-
- Dermatology Physician
- Danville, CA
- NPI 1376947978
-
- Dermatology Physician
- Turlock, CA
- NPI 1427352053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1558845859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 GEER RD # 200",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821146",
"telephone_number": "209-668-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 GEER RD # 200",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821146",
"telephone_number": "209-668-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THROMBLEY",
"first_name": "EDWARD",
"middle_name": "GEORGE",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "55700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.