Active NPI
Murray a Thale MD a Prof Corp
- Neurological Surgery Physician
- Apple Valley, CA
National Provider Identifier
1972846483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- C37450
- Legal business name
- MURRAY A THALE MD A PROF CORP
- Practice address
- 17868 Highway 18 Suite 800
Apple Valley, CA 92307-1267 - Phone
- (760) 399-0797
- NPI assigned
- Apr 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Murray Allen Thale, M.D.
- Title
- Physician/Owner
- Phone
- (760) 399-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | C37450 | CA | Primary |
Addresses
Primary practice location
17868 Highway 18 Suite 800
Apple Valley, CA 92307-1267
Mailing address
17868 Highway 18 Suite 800
Apple Valley, CA 92307-1267
Phone (760) 399-0797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C374500 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1972846483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17868 HIGHWAY 18 SUITE 800",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071267",
"telephone_number": "760-399-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17868 HIGHWAY 18 SUITE 800",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071267",
"telephone_number": "760-399-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURRAY A THALE MD A PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "THALE",
"authorized_official_first_name": "MURRAY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "760-399-0797",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "C37450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C374500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.