NPIMap

Individual provider Active NPI

Thomas Orville Bryan, M.D.

  • Orthopaedic Surgery Physician
  • West Covina, CA
National Provider Identifier
1801851670
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G49736 Issued in CA
Practice address
1135 S Sunset Ave Ste 200
West Covina, CA 91790
Phone
(626) 918-6655
Fax
(626) 918-6633
NPI assigned
Apr 17, 2006
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G49736 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 200
West Covina, CA 91790

Mailing address

1050 Lakes Dr
Suite 100
West Covina, CA 91790-2924
Phone (626) 918-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026001184 CA Practitioner - Orthopedic Surgery 4385630714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

412 W Carroll Ave
Suite 108
Glendora, CA 91741-4707
Phone (626) 852-0411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
60.04
Promoting interoperability
87
Improvement activities
40
Cost
69.31

Merit-based Incentive Payment System (MIPS)

Final score
82.35 of 100Reported as group
Quality
52.92
Promoting interoperability
93
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49736CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners CurrentSince Jan 1, 2017 Accepting new patients
Emanate Health Medical Group CurrentSince Jan 1, 2017 Accepting new patients
Emanate Health Medical Care Foundation Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

14375 Pipeline Ave
Chino, CA 91710
Phone (626) 918-6544

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

412 W Carroll Ave
Ste 107
Glendora, CA 91741
Phone (626) 852-0411

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

1050 Lakes Dr
Ste 100
West Covina, CA 91790
Phone (626) 918-6655

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1135 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 918-6655

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emanate Health Inter-Community HospitalCovina, CA, CCN 050382 Hospital Corporate Director Jun 1, 2024
Emanate Health Foothill Presbyterian HospitalGlendora, CA, CCN 050597 Hospital Corporate Director Jan 9, 2008
Emanate Health Inter-Community HospitalCovina, CA, CCN 555610 Skilled nursing facility Corporate Officer
Corporate Director		 Jun 1, 2024
Jun 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1801851670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902924",
            "telephone_number": "626-918-6655",
            "fax_number": "626-918-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-918-6655",
            "fax_number": "626-918-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "THOMAS",
        "middle_name": "ORVILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G49736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.