Active NPI
James Donald Thomas, MD
- Family Medicine Physician
- Northridge, CA
National Provider Identifier
1780912683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G21216
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Family Care Medical Group Inc | Current | Accepting new patients | |
| RB Healthcare | Past | Accepting new patients | |
| Raeesy MD Inc | Past | 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.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1033267216
-
- General Practice Physician
- Northridge, CA
- NPI 1215132238
-
- Internal Medicine Physician
- Encino, CA
- NPI 1366731762
-
- General Practice Physician
- Sylmar, CA
- NPI 1952159501
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.