Organization Active NPI

Thomas Knutson MD Inc

  • Orthopaedic Surgery Physician
  • Escondido, CA
National Provider Identifier
1023193216
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THOMAS KNUTSON MD INC
Practice address
161 N Date St
Escondido, CA 92025-3405
Phone
(760) 743-4789
Fax
(760) 743-4779
NPI assigned
Oct 26, 2006
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Thomas R Knutson, MDNPI 1962409938
Title
Owner
Phone
(760) 743-4789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

161 N Date St
Escondido, CA 92025-3405

Mailing address

PO Box 28199
San Diego, CA 92198-0199
Phone (858) 673-2502

Other identifiers 1

IdentifierTypeStateIssuer
0851718MedicaidCA

National Provider Directory

National Provider Directory

Locations

161 N Date St
Escondido, CA 92025
Phone (760) 743-4789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1023193216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28199",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980199",
            "telephone_number": "858-673-2502",
            "fax_number": "858-207-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253405",
            "telephone_number": "760-743-4789",
            "fax_number": "760-743-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS KNUTSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-743-4789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851718",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.