Dwayne Thompson, LVN, CNA.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

691103 Issued in CA

Practice address

2892 N Bellflower Blvd
Suite 281
Long Beach, CA 90815-1125

Phone

(714) 614-5387

Fax

(888) 316-1604

NPI assigned

Feb 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1679813778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8321",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919128321",
            "telephone_number": "714-278-7622",
            "fax_number": "888-316-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2892 N BELLFLOWER BLVD",
            "address_2": "SUITE 281",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151125",
            "telephone_number": "714-614-5387",
            "fax_number": "888-316-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DWAYNE",
        "credential": "LVN, CNA.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "691103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Thompson Jr.
• Audrey Walton Thompson
• Brittany Thompson
• Curtis Thompson, RN
• Diana Thompson
• Edie Thompson
• Era Thompson
• Jason Alex Thompson, R.N.
• Jean Louise Thompson, LCSW
• Jermaine Thompson

• Licensed Vocational Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.