Active NPI
Robert E Thompson
- Pulmonary Disease Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G30548
- Practice address
- 17075 Devonshire St
# 205
Northridge, CA 91325-1600 - Phone
- (818) 368-3250
- Fax
- (818) 363-9646
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G30548 | CA | Primary |
Addresses
Primary practice location
17075 Devonshire St
# 205
Northridge, CA 91325-1600
Mailing address
17075 Devonshire St
#205
Northridge, CA 91325-1600
Phone (818) 368-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G30548 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040316000492 | CA | Practitioner - Internal Medicine | 1254221237 |
Reassigns benefits to 2 organizations Practice locations: Northridge, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4605 Lankershim Blvd
Suite 305
North Hollywood, CA 91602-1875
Phone (443) 686-9999
517 E Wilson Ave
Suite 201
Glendale, CA 91206-5902
Phone (909) 990-9944
Hospital & facility affiliations
- Pinnacle Palliative Services, Inc.
- Heartfelt Hospice and Palliative Care Inc
- TLC Hospice Care, Inc
- Montana Hospice, Inc
- Blue Cross Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naigava Medical Management Group Inc | Current | Accepting new patients | |
| Nextgen Regenerative Therapy Inc | Current | Accepting new patients | |
| Thompson, Robert E. M.D. | Pulmonary Disease | Current | Accepting new patients |
| Millenium Wound Care Therapy | Current | Accepting new patients | |
| Blue Cross Hospice | Past | Accepting new patients | |
| Simi San Fernando Valley Urology Associates | Past | Accepting new patients | |
| Alan Shiener MD Inc. | Past | Accepting new patients |
Locations
517 E Wilson Ave
Ste 201
Glendale, CA 91206
Phone (424) 768-0505
4605 Lankershim Blvd
Ste 305
North Hollywood, CA 91602
Phone (443) 686-9999
4914 Lankershim Blvd
Ste 15
North Hollywood, CA 91601
Phone (209) 508-2926
14124 Foothill Blvd
Ste 200
Sylmar, CA 91342
Phone (818) 367-1012
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| TLC Hospice Care Inc | Hospice | W-2 Managing Employee | Apr 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1982227088
W-2 Managing Employee
Organizations & group practices 7
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.
-
- Family Medicine Physician
- North Hollywood, CA
- NPI 1326868712
-
- Specialist
- Sherman Oaks, CA
- NPI 1821174210
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1902441371
-
- Specialist
- Mission Hills, CA
- NPI 1275633695
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1639527799
Hospice
-
- Community Based Hospice Care Agency
- Woodland Hills, CA
- NPI 1649867243
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1982675666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST",
"address_2": "#205",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251600",
"telephone_number": "818-368-3250",
"fax_number": "818-363-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST",
"address_2": "# 205",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251600",
"telephone_number": "818-368-3250",
"fax_number": "818-363-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G30548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G30548",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.