Individual provider Active NPI

Andrew Thomas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mission Viejo, CA
National Provider Identifier
1801467543
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6009 Issued in CA
Practice address
26732 Crown Valley Pkwy Ste 317
Mission Viejo, CA 92691-6374
Phone
(949) 364-3322
NPI assigned
Jul 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E6009 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy Ste 317
Mission Viejo, CA 92691-6374

Mailing address

4150 Chicago Ave Unit 5156
Riverside, CA 92517-7008
Phone (949) 364-2525

Other practice location 1

4343 Market St Ste B
Riverside, CA 92501-3567
Phone (909) 233-7823

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002913 CA Practitioner - Podiatry 2668910001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians
Nile Orthopedic and Rehabilitation AssociationGroup PAC ID 3274807466, 3 clinicians

Practice addresses (Care Compare)

12520 Magnolia Blvd
Suite 304
Valley Village, CA 91607-2355
Phone (818) 452-9902

25915 Barton Rd
Suite 204
Loma Linda, CA 92354-3818
Phone (909) 233-7823

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue101
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6009CAMDAddiction (Substance Use Disorder) Counselor
E6009CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery CurrentSince Dec 29, 2025 Accepting new patients
Nile Orthopedic and Rehabilitation Association CurrentSince Jul 1, 2024 Accepting new patients
Home Foot Care, Inc. Podiatrist CurrentSince Dec 29, 2025 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

264 N Highland Springs Ave
Ste 2A
Banning, CA 92220
Phone (951) 845-8589

835 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (909) 233-7823

25915 Barton Rd
Ste 204
Loma Linda, CA 92354
Phone (909) 233-7823

9120 Haven Ave
Ste 102B
Rch Cucamonga, CA 91730

4343 Market St
Ste B
Riverside, CA 92501
Phone (909) 233-7823

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: athomas1219420@direct.llu.edu

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": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1801467543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CHICAGO AVE UNIT 5156",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925177008",
            "telephone_number": "949-364-2525",
            "fax_number": "909-295-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 317",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916374",
            "telephone_number": "949-364-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925013567",
            "country_code": "US",
            "telephone_number": "909-233-7823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.