Physician Compare National (NPI:1871666834)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871666834
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385734854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071220000380
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ST THOMAS
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13222 BLOOMFIELD AVE
	Group Practice or individual's line 1 address
City	NORWALK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	906503249
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5628634763
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050663
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOS ANGELES COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050580
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LA PALMA INTERCOMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050426
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WEST ANAHEIM MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050230
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GARDEN GROVE HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050776
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	COLLEGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1871666834)

HEALTHCARE PROVIDER:

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information