MRS. DICKEY WANGMO THUKHOTSONG
NPI 1467055855
Nurse Practitioner - Family in El Cerrito, CA

Active since November 18, 2020PECOS Enrolled
3230 CARLSON BLVD, EL CERRITO, CA 94530(510) 734-3560 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Dickey Wangmo Thukhotsong NPPES

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

MRS. DICKEY WANGMO THUKHOTSONG (NPI 1467055855) is an individual family provider in El Cerrito, California, licensed in California (95015915) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467055855
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DICKEY WANGMO THUKHOTSONG
Location Address3230 CARLSON BLVDEl Cerrito, CA 94530-3907
Mailing Address2410 High School AveConcord, CA 94520-1829 · (510) 734-3560
Sole ProprietorNo
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1467055855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95015915
Also ListedRegistered NurseTaxonomy 163W00000X · License 95080619 (CA)
3230 CARLSON BLVD, El Cerrito, CA 94530

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Dickey Wangmo Thukhotsong 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
3230 CARLSON BLVD
EL CERRITO, CA 94530
Skilled Nursing Facility
3230 CARLSON BLVD
EL CERRITO, CA 94530
Physical Therapist
3230 CARLSON BLVD
EL CERRITO, CA 94530
Skilled Nursing Facility
3230 CARLSON BLVD
EL CERRITO, CA 94530

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 Dickey Thukhotsong's NPI number?

The NPI number for Dickey Thukhotsong is 1467055855. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Dickey Thukhotsong located?

Dickey Thukhotsong practices at 3230 Carlson Blvd, El Cerrito, CA 94530. The listed phone number is (510) 734-3560.

What is Dickey Thukhotsong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dickey Thukhotsong enrolled in Medicare?

Yes. Dickey Thukhotsong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dickey Thukhotsong was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.