Thomas Dixon, MD, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A179768 Issued in CA

Practice address

765 Third Ave Ste 100
Chula Vista, CA 91910-5842

Phone

(619) 765-2684

Fax

(619) 765-2687

NPI assigned

Apr 16, 2019

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

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

Psychiatry

Education

Tufts University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kab Medical Group IncGroup PAC ID 7719211358, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kab Medical Group Inc

  • Psychiatry Physician
  • Chula Vista, CA
  • NPI 1639634421
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1144883190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 THIRD AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105842",
            "telephone_number": "619-765-2684",
            "fax_number": "619-765-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 THIRD AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105842",
            "telephone_number": "619-765-2684",
            "fax_number": "619-765-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "THOMAS",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A179768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Distan
• Glenrica Scherbeth Divinagracia
• Shaquasia Dixon-Evans
• Martha Anne Dixon, PTA
• Samantha Dixon
• Denise Dayne Funiestas Dizon
• Veronna Bonggat Dizon, LCSW, PMH-C
• Amir Reza Djavid, MD
• Lilyn Djie, DDS
• Roxanne Dluzak

• Psychiatry Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.