Active NPI
Walter Alain Thomas, M.D.
- Preferred Provider Organization
- San Diego, CA
National Provider Identifier
1669655536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- A67913
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A67913 | Other | CA | STATE LICENSE |
| 00A679130 | Medicaid | CA |
Other names 1
- Walter Alain Thomas, M.D.
National Provider Directory
National Provider Directory- Tax ID family
- Walter a Thomas M D Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1316001167
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.
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1063404606
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.