Organization Active NPI

Silas J. Thomas, M.D., Inc.

  • Primary Care Clinic/Center
  • Lynwood, CA
National Provider Identifier
1992884571
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G35214 Issued in CA
Legal business name
SILAS J. THOMAS, M.D., INC.
Practice address
3628 E Imperial Hwy
Suite 200
Lynwood, CA 90262-2643
Phone
(310) 776-0806
Fax
(562) 590-8460
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Silas J Thomas, M.D.
Title
President
Phone
(310) 776-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G35214 CA Primary

Addresses

Primary practice location

3628 E Imperial Hwy
Suite 200
Lynwood, CA 90262-2643

Mailing address

PO Box 1450
Long Beach, CA 90801-1450
Phone (310) 776-0806

Other identifiers 1

IdentifierTypeStateIssuer
00G352140MedicaidCA

National Provider Directory

National Provider Directory

Locations

3628 E Imperial Hwy
Ste 200
Lynwood, CA 90262
Phone (310) 603-2345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1992884571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908011450",
            "telephone_number": "310-776-0806",
            "fax_number": "562-590-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 E IMPERIAL HWY",
            "address_2": "SUITE 200",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622643",
            "telephone_number": "310-776-0806",
            "fax_number": "562-590-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILAS J. THOMAS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SILAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-776-0806",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G35214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G352140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.