Active NPI
William Mark Thomas, D.C.
- Chiropractor
- La Mirada, CA
National Provider Identifier
1609873082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24637
- Practice address
- 15763 Imperial Hwy
La Mirada, CA 90638-2510 - Phone
- (562) 943-4132
- Fax
- (562) 304-2917
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24637 | CA | Primary |
Addresses
Primary practice location
15763 Imperial Hwy
La Mirada, CA 90638-2510
Mailing address
PO Box 3464
La Habra, CA 90632-3464
Phone (562) 943-4132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ64074Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15763 Imperial Hwy
La Mirada, CA 90638-2510
Phone (562) 943-4132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24637 | CA | MD | Chiropractor |
| 24637 | CA | MD | Neonatal/Pediatric Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William M. Thomas, D.C., Inc., a Chirorpactic Corporation | Chiropractor | Current | Accepting new patients |
Locations
211 S Euclid St
La Habra, CA 90631
Phone (562) 694-3042
15763 Imperial Hwy
La Mirada, CA 90638
Phone (562) 943-4132
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.
-
- Chiropractor
- La Mirada, CA
- NPI 1346429131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1609873082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3464",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906323464",
"telephone_number": "562-943-4132",
"fax_number": "562-304-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15763 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382510",
"telephone_number": "562-943-4132",
"fax_number": "562-304-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "WILLIAM",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ64074Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.