MR. JEFFERY EARL THOMAS SR. (NPI# 1831536028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831536028 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY EARL THOMAS SR. |
| Credential | CATC-III |
| Practice Address |
9808 Venice Blvd Ste. 505 Culver City CA 90232-2732 |
| Practice Telephone | 3109453350 |
| Practice Fax Number | 3109453356 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 3109453356 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T0912071404 | CA | Behavioral Health & Social Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADDICTION CERTIFICATION BOARD OF CALIFORNIA | CATC NO. 156320 III | 01 |
| CA | REGISTERED ADDICTION SPECIALIST | T0912071404 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311894 | Jeffery Raymond Thomas | Dentist | 2808 Village Way, Trent Woods, NC 28562-7305 | 2006-05-10 |
| 1053824870 | Jeffery David Thomas | Marriage & Family Therapist | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2017-11-15 |
| 1033489133 | Jeffery E Thomas | Nurse Anesthetist, Certified Registered | 211 4th St, Alexandria, LA 71301-8421 | 2012-01-05 |
| Street Address |
9808 VENICE BLVD STE. 505 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475273 | Amnon Licht | Internal Medicine | 9808 Venice Blvd, Ste 706, Culver City, CA 90232-6827 | 2005-05-27 |
| 1467053694 | Jiho Jung | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-11-04 |
| 1972101327 | Anderson Dasilva | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-10-16 |
| 1972119212 | Ruth Jurado | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1821604174 | Enid Nyoh | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1164038410 | Stella Sapigao | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1073129326 | Onome Okoro | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1124649355 | Yvette Ballesteros-lara | Rehabilitation Practitioner | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-04-28 |
| 1306314653 | Stella Yaghoubzadeh | Nurse Practitioner | 9808 Venice Blvd, Culver City, CA 90232 | 2018-11-05 |
| 1629579933 | Shekinah Martin | Social Worker | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811552607 | Hana Yi | Student in an Organized Health Care Education/Training Program | 11124 Mcdonald St, Culver City, CA 90230-5368 | 2019-05-07 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1124554639 | Thomas Pham | Student in an Organized Health Care Education/Training Program | 4316 Motor Ave, Culver City, CA 90232-3449 | 2017-05-03 |
| 1184973703 | Mary Ann Mayer | Student in an Organized Health Care Education/Training Program | 6231 Green Valley Cir, Culver City, CA 90230-7056 | 2012-08-29 |
| 1629201199 | Somai Brown | Student in an Organized Health Care Education/Training Program | 3530 Helms Ave, Culver City, CA 90232-2415 | 2009-08-31 |
| 1588262844 | Miriam Paula Rubenson | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-10-09 |
| 1619584554 | Mayra Alexandria Garcia | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-24 |
| 1871109090 | Cindy Hernandez | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-22 |
| 1679188601 | Jacqueline Brianne Saldana | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-15 |
| 1588279517 | Michael Charles Scarlata | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-15 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
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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.