Individual provider Active NPI

Carol J Thrun, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1891764536
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G28687 Issued in CA
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

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000867 CA Practitioner - General PracticePractitioner - Internal Medicine 2264445428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
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

LicenseStateTypeSpecialty
28687CAMDClinical Social Worker
G28687CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.