Thrive Health IV Clinic PC
NPI 1154204089ActiveOrganization· Clinic/Center, Multi-Specialty· Santa Monica, CA
Clinic/Center, Multi-Specialty in Santa Monica, California, registered in NPPES in July 2025, part of Thrive Health IV Clinic PC. The authorized official on file is Raymond S. Douglas, MD, PHD, President.
Overview
| NPI | 1154204089 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Thrive Health IV Clinic PC |
| NPI issued | Jul 29, 2025 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Clinic/Center, Infusion Therapy | 261QI0500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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