Sean R Thomas M D Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A60305 Issued in CA

Legal business name

SEAN R THOMAS M D INC

Practice address

11 Mareblu Ste 210
Aliso Viejo, CA 92656-3044

Phone

(949) 831-1001

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sean R Thomas, M.D.

Title

Ceo

Phone

(760) 364-5149

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sean R Thomas MD, Inc

  • Family Medicine Physician
  • Yucca Valley, CA
  • NPI 1447476312

  O20121003000208

  Same enrollment

Locations

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1134524663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAREBLU STE 210",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563044",
            "telephone_number": "949-831-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU STE 210",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563044",
            "telephone_number": "949-831-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN R THOMAS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-364-5149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "A60305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A60305",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Schneider, DO
• Paige Schreiber
• Robin Schupp, PHD
• Scott M. Martin MD Inc
• Ashley Joy Scotti, BCBA
• Angelos Sebastian
• Select Cal Physical Therapy PC
• Sentinel Palliative Medicine
• Hee Seon Seo
• Shannon Marie Setter, NURSE PRACTITIONER

• Family Nurse Practitioner in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.