HEAVEN THOMPSON
NPI 1104542224
Physician Assistant - Medical in Venice, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since October 19, 2022

503 OCEAN FRONT WALK, VENICE, CA 90291(310) 392-3070 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Physician Assistant
Medical

About HEAVEN THOMPSON

This page provides the complete NPI Profile along with additional information for Heaven Thompson, a primary care provider established in Venice, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1104542224 assigned on October 2022. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1104542224 Verify this NPI
Provider Name: HEAVEN THOMPSON
Gender: Female
Entity Type: Individual
Location Address: 503 OCEAN FRONT WALK VENICE, CA 90291
Location Phone: (310) 392-3070
Mailing Address: 503 OCEAN FRONT WALK VENICE, CA 90291
Mailing Phone: (310) 392-3070
Is Sole Proprietor?: No
Enumeration Date: 10-19-2022
Last Update Date: 01-27-2025
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A primary care provider (PCP) like Heaven Thompson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Medical
Taxonomy Code: 363AM0700X
Type: Physician Assistants & Advanced Practice Nursing Providers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
NA	MEDICAID (05)	CA