STEPHEN W. THACKER D.O. – NPI #1003854274
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

STEPHEN THACKER is a physician located in BREA, CA. NPPES has assigned the NPI number 1003854274 to STEPHEN THACKER on June 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 16, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHEN THACKER below.

NPI Profile for
STEPHEN W. THACKER

NPI Number
1003854274
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STEPHEN W. THACKER
Credentials
D.O.
Primary location
340 W CENTRAL AVE STE 110
ATTENTION: MAGGIE NOLES
BREA, CA 92821-3006
Phone: (714) 529-3971 Fax: (714) 529-1070
Mailing address
PO BOX 51238
ATTENTION: MAGGIE NOLES
LOS ANGELES, CA 90051-5538
Phone: (562) 741-4461 Fax: (562) 741-4413
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for STEPHEN THACKER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00AX50710
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 20A5071

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.