DR. STEPHEN W. THACKER D.O.
NPI 1003854274
Family Medicine in Brea, CA

Active since June 02, 2006
340 W CENTRAL AVE STE 110, ATTENTION: MAGGIE NOLES, BREA, CA 92821(714) 529-3971(714) 529-1070 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen W. Thacker D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN W. THACKER D.O. (NPI 1003854274) is an individual family medicine provider in Brea, California, licensed in California (20A5071) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1003854274
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN W. THACKERCredential: D.O.
Location Address340 W CENTRAL AVE STE 110, ATTENTION: MAGGIE NOLESBrea, CA 92821-3006
Mailing AddressPo Box 51238, Attention: Maggie NolesLos Angeles, CA 90051-5538 · (562) 741-4461 · Fax (562) 741-4413
Fax(714) 529-1070
Sole ProprietorYes
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 16, 2007
NPI 1003854274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A5071
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

340 W CENTRAL AVE STE 110, Brea, CA 92821

Other Identifiers 3

Medicaid00AX50710CA
Medicare UPINA93608
Medicare PINW20A5071FCA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
340 W CENTRAL AVE STE 110
BREA, CA 92821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Thacker's NPI number?

The NPI number for Stephen Thacker is 1003854274. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Stephen Thacker located?

Stephen Thacker practices at 340 W Central Ave Ste 110 Attention: Maggie Noles, Brea, CA 92821. The listed phone number is (714) 529-3971.

What is Stephen Thacker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephen Thacker was last updated on July 16, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.