Active NPI
Thomas R Powell, MD
- Rheumatology Physician
- Orange, CA
National Provider Identifier
1790742054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G25187
- Practice address
- 1140 W la Veta Ave Ste 106
Orange, CA 92868-4223 - Phone
- (714) 245-0492
- Fax
- (714) 245-0494
- NPI assigned
- Apr 28, 2006
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G25187 | CA | Primary |
Addresses
Primary practice location
1140 W la Veta Ave Ste 106
Orange, CA 92868-4223
Mailing address
1140 W la Veta Ave Ste 106
Orange, CA 92868-4223
Phone (714) 245-0492
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 |
|---|---|---|---|---|
| I20090204000195 | CA | Practitioner - Rheumatology | 9436213576 | Practice locations: Orange, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25187 | CA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1790742054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE STE 106",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-245-0492",
"fax_number": "714-245-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE STE 106",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-245-0492",
"fax_number": "714-245-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "THOMAS",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G25187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.