Individual provider Active NPI

Thomas Sean William Petit, MD

  • Internal Medicine Physician
  • Norwalk, CA
National Provider Identifier
1134423387
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME144317 Issued in FL
Practice address
10937 Firestone Blvd
Norwalk, CA 90650-2242
Phone
(562) 262-2111
NPI assigned
Jan 3, 2011
Reactivated
Feb 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME144317 FL Primary
Internal Medicine Physician 207R00000X C196078 CA

Addresses

Primary practice location

10937 Firestone Blvd
Norwalk, CA 90650-2242

Mailing address

10937 Firestone Blvd
Norwalk, CA 90650-2242
Phone (562) 262-2111

Other practice location 1

12923 Inglewood Ave Ste 1
Hawthorne, CA 90250-5573
Phone (310) 675-0395

Other names 1

  • Thomas Sean William Petit Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110325000413 CA Practitioner - Physician Assistant 1557544764
I20200715001464 FL Practitioner - Internal Medicine 1557544764 Reassigns benefits to 2 organizations
I20240905003983 CA Practitioner - Internal Medicine 1557544764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians

Practice addresses (Care Compare)

Long Beach, CA 90815
Phone (800) 757-9876

12923 Inglewood Ave
Suite 1
Hawthorne, CA 90250-5573
Phone (310) 675-0395

Hospital & facility affiliations

  • Starlite Home Health Home health agency, Northridge, CA, CCN 559799
  • L & a Home Health Care, Inc Home health agency, Los Angeles, CA, CCN 059116
  • Atlantic Memorial Healthcare Center Nursing home, Long Beach, CA, CCN 055744

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019347NYMDPsychologist

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Fidelis Care Medical Corp Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Ajay G. Meka M.D. Inc. Internal Medicine CurrentSince Oct 7, 2024 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Nov 28, 2022 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Omni Family Health Past Accepting new patients
Ade Osibamiro MD Inc PastSince May 11, 2025 Accepting new patients
Care Plus Medical Group, Inc. Past Accepting new patients
R Srinivasan MD Inc Internal Medicine Past Accepting new patients

Locations

3325 Tyler Ave
El Monte, CA 91731
Phone (626) 416-5822

12923 Inglewood Ave
Hawthorne, CA 90250

12923 Inglewood Ave
Ste 1
Hawthorne, CA 90250
Phone (310) 675-0395

14427 Chase St
Ste 100
Panorama City, CA 91402
Phone (818) 830-7751

2740 S Bristol St
Ste 208
Santa Ana, CA 92704
Phone (714) 571-4941

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

3100 Stirling Rd
#A
Hollywood, FL 33021
Phone (954) 962-9811

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

460 N University Dr
Pembroke Pines, FL 33024
Phone (954) 437-4004

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thomas.petit@conviva.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1134423387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10937 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502242",
            "telephone_number": "562-262-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10937 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502242",
            "telephone_number": "562-262-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12923 Inglewood Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902505573",
            "country_code": "US",
            "telephone_number": "310-675-0395",
            "fax_number": "310-675-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIT",
        "first_name": "THOMAS",
        "middle_name": "SEAN WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "deactivation_date": "2026-02-18",
        "reactivation_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME144317",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C196078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "PETIT",
            "middle_name": "SEAN WILLIAM",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.