Active NPI
Dion David Thompson, CAADC-DMS
- Rehabilitation Practitioner
- Huntington Park, CA
National Provider Identifier
1750826293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2677 Zoe Ave Ste 304
Huntington Park, CA 90255-3699 - Phone
- (323) 346-0960
- NPI assigned
- Dec 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C1782798 | CA | |
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2677 Zoe Ave Ste 304
Huntington Park, CA 90255-3699
Mailing address
2267 Zoe Ave Suite #304
Huntingon Park, CA 90255
Phone (323) 346-0960
Other practice location 1
600 E 7th Street #105
Los Angeles, CA 90021
Phone (213) 537-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAADC-DMS | Other | CA | MEDI-CAL |
Other names 1
- Mr. Dion David Thompson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1782798 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Chance for Recovery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1346589777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1750826293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2267 ZOE AVE SUITE #304",
"city": "HUNTINGON PARK",
"state": "CA",
"postal_code": "90255",
"telephone_number": "323-346-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 ZOE AVE STE 304",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902553699",
"telephone_number": "323-346-0960"
}
],
"practiceLocations": [
{
"address_1": "600 E 7th Street #105",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90021",
"country_code": "US",
"telephone_number": "213-537-0110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "DION",
"middle_name": "DAVID",
"credential": "CAADC-DMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-19",
"last_updated": "2021-08-30",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C1782798",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "CAADC-DMS",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DION",
"last_name": "THOMPSON",
"middle_name": "DAVID",
"prefix": "MR.",
"credential": "CAADC-DMS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.