Active NPI
Thianthong Kompor, MD
- Obstetrics & Gynecology Physician
- Monterey Park, CA
National Provider Identifier
1669726865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0A29375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | RETIRED |
Other names 1
- Thianthong Kompor
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0A29375 | CA | MD | Obstetrics & 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.