Individual provider Active NPI

Myla Thong, FNP

  • Family Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1982162970
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011125 Issued in CA
Practice address
4500 Gilbert St
Oakland, CA 94611-4657
Phone
(510) 929-1400
Fax
(510) 929-1414
NPI assigned
Mar 8, 2019
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95011125 CA Primary

Addresses

Primary practice location

4500 Gilbert St
Oakland, CA 94611-4657

Mailing address

PO Box 511250
Los Angeles, CA 90051-7805
Phone (510) 929-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715000136 CA Practitioner - Nurse Practitioner 9931533973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tyrone E Snipes D O Internal Medicine Primary Care IncGroup PAC ID 6103235650, 3 clinicians
Lifelong Medical CareGroup PAC ID 2062304538, shared by 12 NPIs, 75 clinicians

Practice addresses (Care Compare)

3055 Alvarado St
Suite 136
San Leandro, CA 94577-5711
Phone 5104449460321

3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 428-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Park Health, Inc Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Tyrone E Snipes D O Internal Medicine Primary Care Inc Single Specialty CurrentSince Apr 21, 2021 Accepting new patients

Locations

1901 4th St
Ste 201
Berkeley, CA 94710
Phone (469) 401-8820

22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300

3850 Walnut Ave
Fremont, CA 94538
Phone (341) 206-8344

16977 Healdsburg Ave
Healdsburg, CA 95448

1144 65th St
Ste F
Oakland, CA 94608
Phone (510) 919-1400

1444 McAllister St
San Francisco, CA 94115
Phone (415) 305-4002

3055 Alvarado St
Ste 136
San Leandro, CA 94577
Phone (510) 444-9460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21048/brand/1/csg/1/fhir/r4
  • Direct secure messaging: myla.thong@299395540647940.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Attaie Healthcare IncPleasanton, CA, CCN 559320 Home health agency W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Dec 16, 2019
Dec 16, 2019
Attaie Healthcare IncPleasanton, CA, CCN A11674 Hospice W-2 Managing Employee
Operational/Managerial Control
Dec 16, 2019
Dec 16, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1982162970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517805",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 GILBERT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114657",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONG",
        "first_name": "MYLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.