Individual provider Active NPI

Robert E Thompson

  • Pulmonary Disease Physician
  • Northridge, CA
National Provider Identifier
1982675666
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G30548 Issued in CA
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

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G30548MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000492 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1254221237 Reassigns benefits to 2 organizations
Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
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. Hospice, Woodland Hills, CA, CCN B41610
  • Heartfelt Hospice and Palliative Care Inc Hospice, N Hollywood, CA, CCN A01651
  • TLC Hospice Care, Inc Hospice, N Hollywood, CA, CCN B21503
  • Montana Hospice, Inc Hospice, Glendale, CA, CCN B21548
  • Blue Cross Hospice Hospice, N Hollywood, CA, CCN A11587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Naigava Medical Management Group Inc CurrentSince May 28, 2025 Accepting new patients
Nextgen Regenerative Therapy Inc CurrentSince Sep 20, 2024 Accepting new patients
Thompson, Robert E. M.D. Pulmonary Disease Current Accepting new patients
Millenium Wound Care Therapy CurrentSince Sep 30, 2024 Accepting new patients
Blue Cross Hospice PastSince Jul 17, 2021 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.

FacilityTypeRoleSince
TLC Hospice Care IncNorth Hollywood, CA, CCN B21503 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.

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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.