Active NPI
Thomas Knutson MD Inc
- Orthopaedic Surgery Physician
- Escondido, CA
National Provider Identifier
1023193216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas R Knutson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0851718 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Escondido, CA
- NPI 1962409938
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.