Active NPI
Carol J Thrun, MD
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1891764536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G28687
- Practice address
- 4800 S Central Ave
Ste B
Los Angeles, CA 90011-5459 - Phone
- (323) 918-2700
- Fax
- (323) 918-2703
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G28687 | CA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G28687 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G28687 | CA |
Addresses
Primary practice location
4800 S Central Ave
Ste B
Los Angeles, CA 90011-5459
Mailing address
4800 S Central Ave
Ste B
Los Angeles, CA 90011-5459
Phone (323) 918-2700
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4800 S Central Ave
Suite B
Los Angeles, CA 90011-5459
Phone (323) 918-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28687 | CA | MD | Clinical Social Worker |
| G28687 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica del Socorro Medical Group,Inc. | General Practice | Current | Accepting new patients |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Daniel L Rowady MD PC | Internal Medicine | Past | Accepting new patients |
| Huntington Hospital Association | Past | Accepting new patients |
Locations
1061 E Vernon Ave
Ste F
Los Angeles, CA 90011
Phone (323) 233-9686
Organizations & group practices 5
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1154971018
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1215263827
General Practice
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1205430477
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1891764536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 S CENTRAL AVE",
"address_2": "STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900115459",
"telephone_number": "323-918-2700",
"fax_number": "323-918-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 S CENTRAL AVE",
"address_2": "STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900115459",
"telephone_number": "323-918-2700",
"fax_number": "323-918-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRUN",
"first_name": "CAROL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G28687",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G28687",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G28687",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.