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WALTER THOMAS PAC
NPI 1154516789
Physician Assistant - Medical in Culver City, CA

Active since September 06, 2007PECOS Enrolled
12044 BRADDOCK DR, CULVER CITY, CA 90230(310) 398-6408 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Walter Thomas Pac NPPES

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

WALTER THOMAS PAC (NPI 1154516789) is an individual medical provider in Culver City, California, licensed in California (PA15198) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154516789
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWALTER THOMASCredential: PAC
Location Address12044 BRADDOCK DRCulver City, CA 90230-5811
Mailing Address12044 Braddock DrCulver City, CA 90230-5811 · (310) 398-6408
Phone(310) 398-6408
Sole ProprietorYes
Enumeration DateSeptember 6, 2007
✔ NPI 1154516789 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
License✔ Licensed in CA · PA15198
12044 BRADDOCK DR, Culver City, CA 90230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Thomas Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers34 claims91 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims18 services$1.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Walter Thomas's NPI number?

The NPI number for Walter Thomas is 1154516789. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Walter Thomas located?

Walter Thomas practices at 12044 Braddock Dr, Culver City, CA 90230. The listed phone number is (310) 398-6408.

What is Walter Thomas's specialty?

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

Is Walter Thomas enrolled in Medicare?

Yes. Walter Thomas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Thomas was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.