Individual provider Active NPI

James Donald Thomas, MD

  • Family Medicine Physician
  • Northridge, CA
National Provider Identifier
1780912683
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G21216 Issued in CA
Practice address
9900 Balboa Blvd Ste E
Northridge, CA 91325-5419
Phone
(818) 701-0017
Fax
(818) 701-0073
NPI assigned
Dec 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G21216 CA Primary

Addresses

Primary practice location

9900 Balboa Blvd Ste E
Northridge, CA 91325-5419

Mailing address

178 N Oak Knoll Ave Apt 2
Pasadena, CA 91101-1800
Phone (626) 696-3991

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000385 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 4284820846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Advanced Family Care Medical Group Inc CurrentSince Jan 23, 2014 Accepting new patients
RB Healthcare PastSince May 12, 2024 Accepting new patients
Raeesy MD Inc PastSince Jun 20, 2011 Accepting new patients
Balboa Medical & Wellness Center,Inc. Past Accepting new patients

Locations

1201 E Florence Ave
Los Angeles, CA 90001
Phone (323) 588-0084

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1780912683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 N OAK KNOLL AVE APT 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011800",
            "telephone_number": "626-696-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BALBOA BLVD STE E",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255419",
            "telephone_number": "818-701-0017",
            "fax_number": "818-701-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G21216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.