Active NPI
Levon James Thomas, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1912299124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21535
- Practice address
- 6405 Day St
Riverside, CA 92507-0901 - Phone
- (951) 697-5611
- Fax
- (951) 697-5565
- NPI assigned
- May 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50004142 | OH | |
| Physician Assistant | 363A00000X | PA21535 | CA | Primary |
Addresses
Primary practice location
6405 Day St
Riverside, CA 92507-0901
Mailing address
6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5611
Other practice location 1
255 Terracina Blvd Ste 101
Redlands, CA 92373-4870
Phone (909) 074-8656
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110929000532 | CA | Practitioner - Physician Assistant | 5496926172 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21535 | CA | MD | Speech-Language Pathologist |
| PA21535 | CA | MD | Physician Assistant |
| 50004142 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients |
Locations
6405 Day St
Riverside, CA 92507
Phone (909) 683-6370
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Murrieta, CA
- NPI 1700295607
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1912299124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 DAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070901",
"telephone_number": "951-697-5611",
"fax_number": "951-697-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 DAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070901",
"telephone_number": "951-697-5611",
"fax_number": "951-697-5565"
}
],
"practiceLocations": [
{
"address_1": "255 Terracina Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923734870",
"country_code": "US",
"telephone_number": "909-074-8656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "LEVON",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50004142",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.