THRIVE LA MEDICAL CLINIC
NPI 1225964323
General Practice in Vernon, CA

Active since June 18, 2026
4221 S ALAMEDA ST, VERNON, CA 90058(213) 515-9069 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thrive La Medical Clinic NPPES

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

THRIVE LA MEDICAL CLINIC (NPI 1225964323) is a healthcare organization registered as a general practice in Vernon, California and active in the NPI registry since June 2026. The organization lists Brownell H Payne, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1225964323
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHRIVE LA MEDICAL CLINIC
Location Address4221 S ALAMEDA STVernon, CA 90058-1601
Mailing Address4221 S Alameda StVernon, CA 90058-1601 · (213) 515-9069
Organization SubpartNo
Authorized OfficialBrownell H PayneCeo/owner · (213) 515-9069
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1225964323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4221 S ALAMEDA ST, Vernon, CA 90058

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thrive La Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thrive La Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1720156490
3756 SANTA ROSALIA DR STE 503
Los Angeles, CA 90008
(844) 938-2828
✔ PECOS✔ Accepts Medicare5.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Thrive La Medical Clinic's NPI number?

The NPI number for Thrive La Medical Clinic is 1225964323. It was assigned to this organization in the NPPES registry on June 18, 2026.

Where is Thrive La Medical Clinic located?

Thrive La Medical Clinic is located at 4221 S Alameda St, Vernon, CA 90058. The listed phone number is (213) 515-9069.

What is Thrive La Medical Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Thrive La Medical Clinic enrolled in Medicare?

Yes. Thrive La Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thrive La Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Thrive La Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thrive La Medical Clinic was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.