Individual provider Active NPI

Ralph Milton Thomure, CAS

  • Specialist
  • Placerville, CA
National Provider Identifier
1629102900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
03-046633 Issued in CA
Practice address
2914A Cold Springs Rd
Placerville, CA 95667-4220
Phone
(530) 642-1715
Fax
(530) 642-2064
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 03-046633 CA Primary

Addresses

Primary practice location

2914A Cold Springs Rd
Placerville, CA 95667-4220

Mailing address

1050 State Hwy 49
Placerville, CA 95667
Phone (530) 626-4448

Other identifiers 1

IdentifierTypeStateIssuer
03-046633OtherCACAS

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
03-046633CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629102900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 STATE HWY 49",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-626-4448",
            "fax_number": "530-626-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914A COLD SPRINGS RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674220",
            "telephone_number": "530-642-1715",
            "fax_number": "530-642-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMURE",
        "first_name": "RALPH",
        "middle_name": "MILTON",
        "name_prefix": "Mr.",
        "credential": "CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "03-046633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAS",
            "identifier": "03-046633",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.