Individual provider Active NPI

Caralea Adrianne Thompson, FNP-C

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1649929381
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020345 Issued in CA
Practice address
6926 Brockton Ave Ste 6
Riverside, CA 92506-3804
Phone
(951) 779-1670
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020345 CA Primary

Addresses

Primary practice location

6926 Brockton Ave Ste 6
Riverside, CA 92506-3804

Mailing address

8324 SVL Box
Victorville, CA 92395-5124
Phone (760) 953-5143

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709002586 CA Practitioner - Nurse Practitioner 8729523246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Specialists Medical GroupGroup PAC ID 2860448685, 13 clinicians

Practice addresses (Care Compare)

10 Santa Rosa St
Suite 201
San Luis Obispo, CA 93405-5826
Phone (805) 544-7246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Mission Pediatrics, Inc. PastSince Mar 27, 2022 Accepting new patients

Locations

314 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 922-5655

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

Interoperability endpoints

  • Direct secure messaging: caralea.thompson@709.securemail.prognocis.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1649929381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 SVL BOX",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955124",
            "telephone_number": "760-953-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063804",
            "telephone_number": "951-779-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARALEA",
        "middle_name": "ADRIANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.