LADAILON J THOMPSON NP
NPI 1740112713
Nurse Practitioner - Family in San Jacinto, CA
Active since June 02, 2026
About Ladailon J Thompson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LADAILON J THOMPSON NP (NPI 1740112713) is an individual family provider in San Jacinto, California, licensed in California (95039853) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1740112713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLADAILON J THOMPSONCredential: NP
Location Address1765 VIBRANT GLNSan Jacinto, CA 92582-2270
Mailing Address1765 Vibrant GlnSan Jacinto, CA 92582-2270 · (951) 238-5952
Phone(951) 238-5952
Sole ProprietorYes
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1740112713 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95039853
1765 VIBRANT GLN, San Jacinto, CA 92582
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740112713, enumerated as an "individual" on June 02, 2026.
The provider is located at 1765 VIBRANT GLN SAN JACINTO, CA 92582 and the phone number is (951) 238-5952.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
