Organization Active NPI

Walter Alain Thomas, M.D.

  • Preferred Provider Organization
  • San Diego, CA
National Provider Identifier
1669655536
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A67913 Issued in CA
Legal business name
WALTER ALAIN THOMAS, M.D.
Practice address
3444 Kearny Villa Rd
Suite#3
San Diego, CA 92123-1959
Phone
(858) 616-6400
Fax
(858) 616-6936
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Ms. Isabel Garcia, ETC.
Title
Billing Supervisor
Phone
(858) 616-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A67913 CA Primary

Addresses

Primary practice location

3444 Kearny Villa Rd
Suite#3
San Diego, CA 92123-1959

Mailing address

3444 Kearny Villa Rd
Suite#303
San Diego, CA 92123-1959
Phone (858) 616-6400

Other identifiers 2

IdentifierTypeStateIssuer
A67913OtherCASTATE LICENSE
00A679130MedicaidCA

Other names 1

  • Walter Alain Thomas, M.D. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Walter a Thomas M D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3444 Kearny Villa Rd
Ste 3
San Diego, CA 92123
Phone (858) 616-6400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1669655536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD",
            "address_2": "SUITE#303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231959",
            "telephone_number": "858-616-6400",
            "fax_number": "858-616-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD",
            "address_2": "SUITE#3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231959",
            "telephone_number": "858-616-6400",
            "fax_number": "858-616-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER ALAIN THOMAS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "858-616-6400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ETC."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A67913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A67913",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A679130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Alain Thomas, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.