Active NPI
Albert Thompson, LVN
- Licensed Vocational Nurse
- Norwalk, CA
National Provider Identifier
1821163809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- LVN179998
- Practice address
- 12353 Imperial Hwy
Norwalk, CA 90650-8305 - Phone
- (562) 484-3385
- Fax
- (562) 484-0269
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | LVN179998 | CA | Primary |
Addresses
Primary practice location
12353 Imperial Hwy
Norwalk, CA 90650-8305
Mailing address
5800 South St Apt 246
Lakewood, CA 90713-1361
Phone (562) 484-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512013461 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LVN179998 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821163809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 SOUTH ST APT 246",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131361",
"telephone_number": "562-484-3385",
"fax_number": "562-484-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12353 IMPERIAL HWY",
"city": "NORWALK",
"state": "CA",
"postal_code": "906508305",
"telephone_number": "562-484-3385",
"fax_number": "562-484-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALBERT",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "LVN179998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512013461",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.