Active NPI
Murray Allen Thale, MD
- Neurological Surgery Physician
- Apple Valley, CA
National Provider Identifier
1831147891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- C37450
- Practice address
- 17868 Hwy 18 Suite 800
Apple Valley, CA 92307-1271 - Phone
- (760) 399-0797
- Fax
- (760) 242-7758
- NPI assigned
- May 4, 2006
- Last updated
- Apr 3, 2013
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | C37450 | CA | Primary |
Addresses
Primary practice location
17868 Hwy 18 Suite 800
Apple Valley, CA 92307-1271
Mailing address
17868 Highway 18
Suite 800
Apple Valley, CA 92307
Phone (760) 399-0797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330166013 | Other | CA | BLUE CROSS BLUE SHIELD |
| 00C374500 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Care Physical Therapy Services | Past | Accepting new patients | |
| Corwin Medical Group Inc Ipa | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Apple Valley, CA
- NPI 1972846483
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1821018433
-
dba Optimum Care Therapy
- Physical Therapy Clinic/Center
- Artesia, CA
- NPI 1700215316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1831147891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17868 HIGHWAY 18",
"address_2": "SUITE 800",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-399-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17868 HWY 18 SUITE 800",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071271",
"telephone_number": "760-399-0797",
"fax_number": "760-242-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THALE",
"first_name": "MURRAY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "C37450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "330166013",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C374500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.