Individual provider Active NPI

Mindy Thomas, NP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1962942961
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005153 Issued in CA
Practice address
8635 W 3Rd St Ste 795W
Los Angeles, CA 90048-6129
Phone
(310) 423-5871
Fax
(310) 423-0139
NPI assigned
Feb 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005153 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 795W
Los Angeles, CA 90048-6129

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 423-5874

Other practice location 1

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8834 ext. 7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200615002661 CA Practitioner - Nurse Practitioner 0941622278 Reassigns benefits to 2 organizations
I20260401001135 OH Practitioner - Nurse Practitioner 0941622278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005153CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince Jul 3, 2025 Accepting new patients
Can Emergency Physicians Medical Group Inc CurrentSince Nov 15, 2024 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 3, 2025 Accepting new patients

Locations

8635 W 3rd St
Ste 795W
Los Angeles, CA 90048
Phone (310) 423-8350

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Interoperability endpoints

  • Direct secure messaging: mindy.thomas.1@25843.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1962942961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "310-423-5874",
            "fax_number": "310-423-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 795W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486129",
            "telephone_number": "310-423-5871",
            "fax_number": "310-423-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622609",
            "country_code": "US",
            "telephone_number": "310-900-8834 x7613",
            "fax_number": "310-900-4569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MINDY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.