Active NPI
Nicolas Limthong, M.D.
- General Practice Physician
- Ventura, CA
National Provider Identifier
1750726758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A132915
- Practice address
- 148 N Brent St Ste 101
Ventura, CA 93003-2818 - Phone
- (805) 722-2468
- Fax
- (848) 260-2833
- NPI assigned
- May 3, 2013
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A132915 | CA | Primary |
Addresses
Primary practice location
148 N Brent St Ste 101
Ventura, CA 93003-2818
Mailing address
148 N Brent St Ste 101
Ventura, CA 93003-2818
Phone (805) 722-2468
Other practice location 1
11629 Clark St Ste 101
Arcadia, CA 91006-6022
Phone (626) 471-1326
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108000559 | CA | Order and Referring Only - General Practice | 4688976517 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132915 | CA | MD | Marriage & Family Therapist |
| A132915 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1750726758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 N BRENT ST STE 101",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032818",
"telephone_number": "805-722-2468",
"fax_number": "848-260-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 N BRENT ST STE 101",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032818",
"telephone_number": "805-722-2468",
"fax_number": "848-260-2833"
}
],
"practiceLocations": [
{
"address_1": "11629 Clark St Ste 101",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910066022",
"country_code": "US",
"telephone_number": "626-471-1326",
"fax_number": "626-872-6722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIMTHONG",
"first_name": "NICOLAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-03",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A132915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.