Individual provider Active NPI

Walter Thomas, MD

  • Family Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1952379463
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34536 Issued in CA
Practice address
1980 Sequoia Ave
Simi Valley, CA 93063-3167
Phone
(805) 527-1804
Fax
(805) 527-5241
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34536 CA Primary

Addresses

Primary practice location

1980 Sequoia Ave
Simi Valley, CA 93063-3167

Mailing address

PO Box 2218
Simi Valley, CA 93062-2218
Phone (805) 527-1804

Other practice location 1

2080 Newbury Rd
Newbury Park, CA 91320-3387
Phone (805) 499-0308

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
I20101101001082 CA Practitioner - Family PracticePractitioner - Addiction Medicine 7911988621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walter Thomas MD a Medical CorporationGroup PAC ID 4789615386, 2 clinicians

Practice addresses (Care Compare)

1980 Sequoia Ave
Simi Valley, CA 93063-3167
Phone (805) 527-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Thomas MD a Medical Corporation CurrentSince Jan 1, 1973 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Carbon Health Medical Group of California PC Family Medicine PastSince Mar 1, 1993 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

1980 Sequoia Ave
Simi Valley, CA 93063
Phone (805) 306-0070

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1952379463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2218",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930622218",
            "telephone_number": "805-527-1804",
            "fax_number": "805-527-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SEQUOIA AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633167",
            "telephone_number": "805-527-1804",
            "fax_number": "805-527-5241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Newbury Rd",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913203387",
            "country_code": "US",
            "telephone_number": "805-499-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.