Individual provider Active NPI

Thomas Bouasy, P.A.

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1740269026
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17818 Issued in CA
Practice address
400 Old River Rd
Bakersfield, CA 93311-9781
Phone
(661) 663-6275
Fax
(661) 326-8022
NPI assigned
Jan 13, 2006
Last updated
May 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17818 CA Primary

Addresses

Primary practice location

400 Old River Rd
Bakersfield, CA 93311-9781

Mailing address

PO Box 20577
Bakersfield, CA 93390-0577
Phone (661) 326-8021

Other identifiers 4

IdentifierTypeStateIssuer
AO427XOtherCAMEDICARE PTAN-URGENT CARE
AO427YOtherCAMEDICARE PTAN-TRUXTUN
PA17818MedicaidCA
AO427ZOtherCAMEDICARE PTAN-SOUTHWEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000431 CA Practitioner - Physician Assistant 1557394343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Un of California, Irvine, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

6789 N Blackstone Ave
Fresno, CA 93710-3530
Phone (559) 512-3377

761 W Shaw Ave
Clovis, CA 93612-3217
Phone (559) 712-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17818CAMDAcupuncturist
PA17818CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 20, 2023 Accepting new patients
Sierra Pacific Orthopaedic Center Medical Group Inc CurrentSince Jul 5, 2018 Accepting new patients
Central California Emergency Medicine Physicians Past Accepting new patients
Bakersfield Emergency Medical Corp. Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Interoperability endpoints

  • Direct secure messaging: thomas.bouasy.p1@direct.spocortho.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1740269026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20577",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900577",
            "telephone_number": "661-326-8021",
            "fax_number": "661-326-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119781",
            "telephone_number": "661-663-6275",
            "fax_number": "661-326-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUASY",
        "first_name": "THOMAS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-URGENT CARE",
            "identifier": "AO427X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-TRUXTUN",
            "identifier": "AO427Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA17818",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-SOUTHWEST",
            "identifier": "AO427Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.