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

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: August 09, 2026.

About Heaven Thompson NPPES

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

HEAVEN THOMPSON (NPI 1104542224) is an individual medical provider in Venice, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1104542224
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEAVEN THOMPSON
Location Address503 OCEAN FRONT WALKVenice, CA 90291-2403
Mailing Address503 Ocean Front WalkVenice, CA 90291-2403 · (310) 392-3070
Phone(310) 392-3070
Sole ProprietorNo
Enumeration DateOctober 19, 2022
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1104542224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
503 OCEAN FRONT WALK, Venice, CA 90291
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Other Providers at the Same Location NPPES 20

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

QUESEAN GREGORY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
DENNIS SMITH
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. HENRY R. GRAY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
CORY BARNES RADT
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. LUCIANO MACHADO II
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
JESUS BARAJAS
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MIGUEL ADRIAN RODRIGUEZ
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MRS. KRISTEN BRANCH WINSLOW LMFT, MBA
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070

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 Heaven Thompson's NPI number?

The NPI number for Heaven Thompson is 1104542224. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Heaven Thompson located?

Heaven Thompson practices at 503 Ocean Front Walk, Venice, CA 90291. The listed phone number is (310) 392-3070.

What is Heaven Thompson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Heaven Thompson was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.