Maria Guadalupe Thomas III, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95016192 Issued in CA

Practice address

1317 W Foothill Blvd
Upland, CA 91786-3676

Phone

(909) 981-5882

Fax

(909) 373-2828

NPI assigned

May 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1760066542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD STE 148",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863675",
            "telephone_number": "909-981-5882",
            "fax_number": "909-373-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863676",
            "telephone_number": "909-981-5882",
            "fax_number": "909-373-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95016192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• There Is Hope, Inc
• There Is Hope, Inc
• Thinh T. Le DPM Inc.
• Thomas W Lee MD Inc
• Camille Thomas
• Marimily Thomas
• Michael Thompson
• Minh Song Thong
• Angela Thornhill, LCSW, MSW
• Branden K Thyne, M.A.MFT

• Primary Care Nurse Practitioner in Upland, CA
• Providers in Upland, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.