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NPI Code Detail

MEDICARE: ELLA THOMAS

MEDICARE: ELLA THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2225400000XRehabilitation Practitioner
3225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1073334033
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA THOMAS
Provider Business Mailing Address
First Line : 1922 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1457
Country : US
Telephone Number : 408-261-7777
Fax Number : 408-642-6052
Provider Business Practice Location Address
First Line : 650 S BASCOM AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2601
Country : US
Telephone Number : 408-261-7777
Fax Number : 408-642-6052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2024
Last Update Date : 06/04/2026

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Directions to “ ELLA THOMAS ” Practice Location

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