KIMBERLY ELAINE THOMAS (NPI# 1396052007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396052007 |
Entity Type | Individual |
Full Name | KIMBERLY ELAINE THOMAS |
Credential | PA |
Practice Address |
3177 Ocean View Blvd Ocean View Chc San Diego CA 92113-1432 |
Mailing Address |
1275 30th St San Diego CA 92154-3476 |
Practice Telephone | 6196624100 |
Practice Fax Number | 6192056373 |
Mailing Telephone | 6196624100 |
Mailing Fax Number | 6192056373 |
Enumeration Date | 2010-09-02 |
Last Update Date | 2012-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA16768 | Physician Assistants & Advanced Practice Nursing Providers | |
N | 363A00000X | Physician Assistant | 16768 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LICENSE | 16768 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285251298 | Kimberly Thomas | Home Health Aide | 7403 Parkland Rd, Columbia, SC 29226-0001 | 2020-06-25 |
1326660796 | Kimberly N Thomas | Social Worker | 207 Hunters Crk, Dallas, GA 30157-9409 | 2020-05-08 |
1134770688 | Kimberly Thomas | Case Manager/Care Coordinator | 13 E Lucius Ave, Youngstown, OH 44507-1804 | 2019-09-26 |
1003464710 | Kimberly Thomas | Technician | 3410 Dale St, Fort Myers, FL 33916-4410 | 2019-08-27 |
1265091342 | Kimberly M Thomas | Social Worker | 9418 S Horned Lizard Cir, Tucson, AZ 85747-6210 | 2019-06-11 |
1871083600 | Kimberly Ruth Thomas | Registered Nurse | 25 Church St Fl 3, Wilkes Barre, PA 18702-3507 | 2018-05-17 |
1285184689 | Kimberly Andrea Thomas | Nurse Practitioner | 8005 Sw 198th Ter, Cutler Bay, FL 33189-2115 | 2016-10-10 |
1861842460 | Kimberly Thomas | Physical Therapy Assistant | 402 Brandy Hill Rd, Thompson, CT 06277-2426 | 2016-06-15 |
1598158644 | Kimberly Graziano Thomas | Physical Therapist | 5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034-9341 | 2015-03-13 |
1043608201 | Kimberly Ann Thomas | Speech-Language Pathologist | 255 Donald Drive, Fairfield Inter. School, Fairfield, OH 45014 | 2014-12-22 |
Street Address |
3177 OCEAN VIEW BLVD OCEAN VIEW CHC |
City | SAN DIEGO |
State | CA |
Zip Code | 92113-1432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407855828 | Emily Christine Rall | Physician Assistant | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2005-07-18 |
1124680061 | Joshua Dan Herrera | Health Educator | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2019-07-01 |
1619458213 | Kim Long Thi Vo | Pharmacist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2018-08-22 |
1033622238 | Rhiannon Cardeiro | Dental Hygienist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-11-09 |
1063945657 | Alejandra Melissa Morales | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-04-10 |
1912438250 | Michaela Staley | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-03-27 |
1689037111 | Amanda Karla Dappen | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113 | 2016-04-01 |
1821467655 | Samantha Anne Melzer | Dentist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2015-09-23 |
1255747374 | Raechel Taylor | Student in an Organized Health Care Education/Training Program | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-07-09 |
1043631492 | Joseph Paul Stephen Mayer | Social Worker | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-01-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
Find all providers in zip 92113 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
1639776503 | Nathan Tuan Dinh | Physician Assistant | 8296 Via Escalada, San Diego, CA 92129-2223 | 2020-10-05 |
1750988671 | Denise Aquino | Physician Assistant | 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 | 2020-10-04 |
1962009183 | Courtney Krysl | Physician Assistant | 14434 Corte Lampara, San Diego, CA 92129-3818 | 2020-10-01 |
1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
1871104067 | Satoshi Ikeda | Physician Assistant | 16198 Paseo Del Sur, San Diego, CA 92127-6155 | 2020-08-12 |
1760009989 | Lili Tran | Physician Assistant | 8865 Calle Tragar, San Diego, CA 92129-2156 | 2020-07-03 |
1245857259 | Kendra Roberta Witt | Physician Assistant | 11396 Poblado Rd, San Diego, CA 92127-1351 | 2020-06-25 |
1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
1104441021 | Kira Ann Tellache | Physician Assistant | 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 | 2020-06-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.