Thomas Lee Bosshardt, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G78405 Issued in CA

Practice address

1325 E Church St Ste 202
Santa Maria, CA 93454-5915

Phone

(805) 346-3456

Fax

(805) 346-3454

NPI assigned

Mar 12, 2007

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

University of California, Geffen School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Monterey County Memorial HospitalGroup PAC ID 7719883461, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Monterey County Memorial Hospital Hospital, King City, CA, CCN 051336

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

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.

• Southern Monterey County Memorial Hospital

  dba Mee Memorial Healthcare System

  • Critical Access Hospital
  • King City, CA
  • NPI 1114917564
  Medicare reassignment Care Compare group NPD
• Southern Monterey County Memorial Hospital

  dba Broadway Medical Clinic

  • Clinic/Center
  • King City, CA
  • NPI 1336389600
  NPD

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

• Southern Monterey County Memorial Hospital

  dba Mee Memorial Healthcare System

  • Critical Access Hospital
  • King City, CA
  • NPI 1114917564
  Care Compare affiliation

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1104958156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSHARDT",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G78405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G784050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Booker
• Jane Boone-Brechwald
• Andrew Boortz, ATC
• Analissa Marie Borbon
• Alfonso Borunda
• Simon Boughey, MD
• Keith Bow, PHARM.D.
• Danielle Bowen, LVN
• Genete Marie Bowen, LCMT
• Michelle R. Bowman, R.N.

• Surgery Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.