Tamara Thomas

Primary specialty

SpecialistTaxonomy code 174400000X

License

25037 Issued in CA

Practice address

16767 Bernardo Center Dr Ste L1 #27384
San Diego, CA 92128-9212

Phone

(858) 848-9660

NPI assigned

Feb 11, 2018

Last updated

Mar 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1053810598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE E4",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642427",
            "telephone_number": "858-848-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16767 BERNARDO CENTER DR STE L1 #27384",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921289212",
            "telephone_number": "858-848-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "25037",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "25037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Rene Thomas
• Stacie Erin Thomas, SLP
• Stephen Thomas, M.D.
• Steven Earl Thomas, CAS
• Steven J Thomas, MD
• Thea M. Thomas, PA-C
• Theodore S. Thomas, M.D.
• Theresa Jo Thomas
• Timothy Christopher Thomas, DDS
• Trisha-Ann Thomas, RDHAP

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.