Sean R Thomas, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A60305 Issued in CA

Practice address

55585 29 Palms Hwy
Yucca Valley, CA 92284-2505

Phone

(760) 228-3366

Fax

(760) 228-3369

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sean R Thomas MD, Inc

  • Rural Health Clinic/Center
  • Twentynine Palms, CA
  • NPI 1154336246

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sean R Thomas MD, Inc

  • Rural Health Clinic/Center
  • Yucca Valley, CA
  • NPI 1386869147

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

• Sean R Thomas MD, Inc

  • Family Medicine Physician
  • Yucca Valley, CA
  • NPI 1447476312
  Medicare reassignment NPD
• Sean R Thomas MD, Inc

  • Rural Health Clinic/Center
  • Twentynine Palms, CA
  • NPI 1154336246
  NPD (past)
• Sean R Thomas MD, Inc

  • Rural Health Clinic/Center
  • Yucca Valley, CA
  • NPI 1386869147
  NPD (past)
• Sean R Thomas MD, Inc

  • Family Medicine Physician
  • Twentynine Palms, CA
  • NPI 1497970255
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1093725855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55585 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842505",
            "telephone_number": "760-228-3366",
            "fax_number": "760-228-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55585 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842505",
            "telephone_number": "760-228-3366",
            "fax_number": "760-228-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SEAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A60305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "A60305",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A603050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telecare Corporation
• Telecare Cwic MB
• Duane Kinne Tevis, M.D.
• The Bodhi Tree, a Licensed Clinical Social Worker Corp
• The Thought Shoppe
• Anne V. Thompson
• Tracey Thompson
• Nancy Lee Thornton, O.T.R./L.
• Thrifty Payless Inc
• Together Transport Non-Emergency

• General Practice Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.