MR. KENNETH T THOMPSON PA-C
NPI 1609112192
Physician Assistant in Simi Valley, CA

Active since January 02, 2013PECOS EnrolledAccepts Medicare Assignment
2780 TAPO CANYON RD, SUITE A3, SIMI VALLEY, CA 93063(805) 520-2929(805) 520-2948 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth T Thompson Pa-c NPPES

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

MR. KENNETH T THOMPSON PA-C (NPI 1609112192) is an individual physician assistant in Simi Valley, California, licensed in California (PA22683) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609112192
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH T THOMPSONCredential: PA-C
Location Address2780 TAPO CANYON RD, SUITE A3Simi Valley, CA 93063-6840
Mailing Address11586 Cumpston StNorth Hollywood, CA 91601-2636 · (818) 763-3124
Fax(805) 520-2948
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 2, 2013
NPI 1609112192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA22683
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2780 TAPO CANYON RD, Simi Valley, CA 93063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth T Thompson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315192051
PECOS Enrollment IDI20130301000123
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 93063 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
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 5

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

Non-Pharmacy Dispensing Site
2780 TAPO CANYON RD, SUITE A-3
SIMI VALLEY, CA 93063
Dentist
2780 TAPO CANYON RD, A-1B
SIMI VALLEY, CA 93063
Dentist (General Practice)
2780 TAPO CANYON RD, SUITE A-1B
SIMI VALLEY, CA 93063
General Practice
2780 TAPO CANYON RD, SUITE A3
SIMI VALLEY, CA 93063
Dentist
2780 TAPO CANYON RD, STE. A-1B
SIMI VALLEY, CA 93063

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 Kenneth Thompson's NPI number?

The NPI number for Kenneth Thompson is 1609112192. It was assigned to this individual provider in the NPPES registry on January 2, 2013.

Where is Kenneth Thompson located?

Kenneth Thompson practices at 2780 Tapo Canyon Rd Suite A3, Simi Valley, CA 93063. The listed phone number is (805) 520-2929.

What is Kenneth Thompson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Thompson enrolled in Medicare?

Yes. Kenneth Thompson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Thompson was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.