MR. KENNETH T THOMPSON (NPI# 1609112192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609112192 |
Entity Type | Individual |
Full Name | MR. KENNETH T THOMPSON |
Credential | PA-C |
Practice Address |
2780 Tapo Canyon Rd Suite A3 Simi Valley CA 93063-6840 |
Mailing Address |
11586 Cumpston St North Hollywood CA 91601-2636 |
Practice Telephone | 8055202929 |
Practice Fax Number | 8055202948 |
Mailing Telephone | 8187633124 |
Enumeration Date | 2013-01-02 |
Last Update Date | 2013-01-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA22683 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376944322 | Kenneth Thompson | Clinic/Center | 708 Cortwright St, Pontiac, MI 48340-2302 | 2014-09-09 |
1306177357 | Kenneth Wilson Thompson Jr. | Dentist | 107 Brook Ave., South Hill, VA 23970 | 2010-01-14 |
1942373204 | Kenneth Joel Thompson | Nurse Anesthetist, Certified Registered | 336 Deerfield Road, Boone, NC 28607 | 2006-11-16 |
1689788598 | Kenneth D Thompson | Dentist | 4213 Dale Rd., Suite 5, Modesto, CA 95356 | 2006-08-18 |
1255365151 | Kenneth W Thompson | Internal Medicine | 17 Camp Road, Richard J Caron Foundation, Wernersville, PA 19565 | 2006-07-10 |
1194772517 | Kenneth George Thompson | Obstetrics & Gynecology | 15709 Shadow Mtn Dr, Edmond, OK 73013 | 2006-05-30 |
1235117789 | Kenneth L Thompson | Pharmacist | 2 N Main St, Kilmarnock, VA 22482-8501 | 2006-01-05 |
1114346905 | Kenneth Robert Thompson IIi | Emergency Medicine | 234 Goodman St, Center for Emergency Care, Cincinnati, OH 45219-2364 | 2014-04-09 |
1134450976 | Kenneth Lowell Thompson | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2010-01-19 |
1679715338 | Kenneth A Thompson | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2009-03-27 |
Street Address |
2780 TAPO CANYON RD SUITE A3 |
City | SIMI VALLEY |
State | CA |
Zip Code | 93063-6840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083800296 | Dmitry G Aminov | Dentist | 2780 Tapo Canyon Rd, A-1b, Simi Valley, CA 93063-6840 | 2007-09-20 |
1093103954 | Dmitry Aminov Dental Corp | Dentist | 2780 Tapo Canyon Rd, Suite A-1b, Simi Valley, CA 93063-6840 | 2014-12-30 |
1902204019 | Gennady Orlovetsky, D.d.s., Inc. | Dentist | 2780 Tapo Canyon Rd, Ste. A-1b, Simi Valley, CA 93063-6840 | 2014-12-05 |
1033481668 | Rosaasen Physical Medicine Inc. | Non-Pharmacy Dispensing Site | 2780 Tapo Canyon Rd, Suite A-3, Simi Valley, CA 93063-6840 | 2012-01-27 |
1255651113 | Rosaasen Physical Medicine Inc | Chiropractor | 2780 Tapo Canyon Rd, Suite A3, Simi Valley, CA 93063-6840 | 2010-06-02 |
1518139666 | Richard Arnold Wright | Chiropractor | 2780 Tapo Canyon Rd, Simi Valley, CA 93063-6840 | 2008-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
Find all providers in zip 93063 |
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 |
---|---|---|---|---|
1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
1275905960 | Heather Veitch | Physician Assistant | 1806 Wallace St, Simi Valley, CA 93065 | 2015-10-21 |
1992175434 | Nancy Menges | Physician Assistant | 2925 Sycamore Dr Ste 204-205, Simi Valley, CA 93065-1207 | 2015-09-27 |
1851693451 | Nazaneen Cauthron | Physician Assistant | 2755 Alamo St Ste 100, Simi Valley, CA 93065-1345 | 2010-12-02 |
1124290093 | Aaron Highsmith | Physician Assistant | 2515 Glenhurst Ct, Simi Valley, CA 93063-5319 | 2008-03-31 |
1497748149 | Mark B Oechsli | Physician Assistant | 4531 Alamo St, Sierra Vista Family Medical Clinic, Simi Valley, CA 93063 | 2005-08-29 |
1336773811 | Maria Daniela Burbano Pimentle | Physician Assistant | 1424 Madera Rd, Simi Valley, CA 93065-3053 | 2020-02-24 |
1306493267 | Zade Neil Batarseh | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-23 |
1790332245 | John Clayton Zimbardo | Physician Assistant | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2019-08-20 |
1669027025 | Kelly Erin Olson | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-02 |
Find all providers in SIMI VALLEY |
City | SIMI VALLEY |
Zip Code | 93063 |
Please comment or provide details below to improve the information on MR. KENNETH T THOMPSON.
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.