Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth T Thompson, PA-C

Individual provider Physician Assistant · NPI 1609112192

Mr. Kenneth T Thompson, PA-C is a Physician Assistant in Simi Valley, California. Qualified in 2011, 15 years ago. Practices with Comprehensive Community Health Centers Inc, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2780 Tapo Canyon Rd Ste A3
Simi Valley, CA 93063-6840
Phone: (805) 520-2929
Fax: (805) 520-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22683 (CA)

Record details

NPI number1609112192
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 2, 2013
Last updated in NPPESJanuary 2, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Comprehensive Community Health Centers Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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