Marian Thomas
Individual provider Active NPI Physician Assistant · Colton, CA
NPI 1992380828 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1992380828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 400 N Pepper Ave # 205
Colton, CA 92324-1801 - Phone
- (909) 580-3390
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Juan C Frisancho MD Inc
Practice addresses (Care Compare)
23600 Telo Ave
Suite 180
Torrance, CA 90505-4039
Phone (310) 257-1500
Hospital & facility affiliations
- Torrance Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210806002519 | CA | Practitioner - Physician Assistant | 6103220512 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59714 | CA | MD | Dentist |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current |
Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current |
Accepting new patients | |
| Juan C Frisancho MD Inc | Current |
Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
15302 El Prado Rd
Chino, CA 91710
Phone (909) 393-7222
400 N Pepper Ave
#205
Colton, CA 92324
Phone (909) 331-9598
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
6033 W Century Blvd
Ste 200
Los Angeles, CA 90045
Phone (310) 215-1600
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
800 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 245-0800
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
23600 Telo Ave
Ste 180
Torrance, CA 90505
Phone (310) 257-1500
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
400 N Pepper Ave # 205
Colton, CA 92324-1801
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Other providers in Colton, CA
- Swati Thacker
- Nhat Tan Hoang Than
- Long Thi
- Nam Quoc Thi
- Desiree Thomas-Layugan
- Miracle Sharee Thomas
- Rishi Paikad Thomas
- Devin Allan Thompkins
- Donald Wayne Thompson
- Mario D Thompson
All providers in Colton, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.