Individual provider Active NPI

Thianthong Kompor, MD

  • Obstetrics & Gynecology Physician
  • Monterey Park, CA
National Provider Identifier
1669726865
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0A29375 Issued in CA
Practice address
342 S Orange Ave Unit B
Monterey Park, CA 91755-7505
Phone
(415) 606-1307
NPI assigned
Nov 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0A29375 CA Primary

Addresses

Primary practice location

342 S Orange Ave Unit B
Monterey Park, CA 91755-7505

Mailing address

342 S Orange Ave Unit B
Monterey Park, CA 91755-7505
Phone (415) 606-1307

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherRETIRED

Other names 1

  • Thianthong Kompor Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0A29375CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1669726865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S ORANGE AVE UNIT B",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557505",
            "telephone_number": "415-606-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S ORANGE AVE UNIT B",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557505",
            "telephone_number": "415-606-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPOR",
        "first_name": "THIANTHONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "0A29375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THIANTHONG",
            "last_name": "KOMPOR",
            "credential": "THIANTHONG KOMPOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.