Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heaven Thompson

Individual provider Medical Physician Assistant · NPI 1104542224

Heaven Thompson is a Medical Physician Assistant in Venice, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

503 Ocean Frnt Walk
Venice, CA 90291-2403
Phone: (310) 392-3070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1104542224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address503 Ocean Front Walk, Venice, CA 90291-2403

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