NPIMap

Individual provider Active NPI

Thomas C. Mitchell, P.A.

  • Physician Assistant
  • French Camp, CA
National Provider Identifier
1013091354
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17854 Issued in CA
Practice address
500 W. Hospital Rd.
French Camp, CA 95231
Phone
(209) 468-6937
Fax
(209) 468-7042
NPI assigned
Oct 24, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17854 CA Primary

Addresses

Primary practice location

500 W. Hospital Rd.
French Camp, CA 95231

Mailing address

PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6937

Other identifiers 1

IdentifierTypeStateIssuer
PA17854OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308001208 CA Practitioner - Physician Assistant 4789638149 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

1111 N Nagle St
Alturas, CA 96101-3840
Phone (530) 708-8800

525 W Acacia St
Stockton, CA 95203-2405
Phone (530) 244-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17854CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Ca CurrentSince Dec 19, 2023 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Dec 1, 2024 Accepting new patients
Cardinal Emergency Providers Professional Corporation Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Dec 19, 2023 Accepting new patients
Last Frontier Healthcare District CurrentSince Jan 29, 2026 Accepting new patients
Mdstat Urgent Care, Inc Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1013091354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952013120",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W. HOSPITAL RD.",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "95231",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA17854",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in French Camp, CA

Sources for this page

Verify at the official NPI Registry.