Active NPI
Walter Thomas, MD
- Family Medicine Physician
- Simi Valley, CA
National Provider Identifier
1952379463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34536
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Thomas MD a Medical Corporation | Current | Accepting new patients | |
| Simi Valley Hospital and Health Care Services | Past | Accepting new patients | |
| Carbon Health Medical Group of California PC | Family Medicine | Past | 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.
-
- Addiction Medicine (Family Medicine) Physician
- Simi Valley, CA
- NPI 1598953358
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
Family Medicine
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.