Individual provider Active NPI

Thomas Lewis Firnberg II, MD

  • Psychiatry Physician
  • Stockton, CA
National Provider Identifier
1164597472
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
48635 Issued in CO
Practice address
1212 N California St
Stockton, CA 95202-1552
Phone
(209) 468-8842
Fax
(209) 953-1041
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A040218 CA
Psychiatry Physician 2084P0800X M-10877 ID
Psychiatry Physician 2084P0800X 48635 CO Primary

Addresses

Primary practice location

1212 N California St
Stockton, CA 95202-1552

Mailing address

400 N Park Ave
Unit #10-B
Breckenridge, CO 80424-8850
Phone (951) 533-9993

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200709001052 CA Practitioner - Psychiatry 4789867565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A040218CAMDPsychiatry Physician
48635COMDPsychiatry Physician
M-10877IDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin County Behavioral Health Services CurrentSince Mar 20, 2020 Accepting new patients
County of del Norte CurrentSince Jan 13, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince May 16, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
San Joaquin Behavioral Health Services Current Accepting new patients
County of Tuolumne CurrentSince Apr 17, 2023 Accepting new patients
County of San Joaquin CurrentSince Mar 20, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince May 16, 2024 Accepting new patients

Locations

455 K St
Crescent City, CA 95531
Phone (707) 464-0860

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200

105 Hospital Rd
Sonora, CA 95370
Phone (209) 533-6245

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Interoperability endpoints

  • Direct secure messaging: tfirnberg1154628@direct.llu.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1164597472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PARK AVE",
            "address_2": "UNIT #10-B",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248850",
            "telephone_number": "951-533-9993",
            "fax_number": "970-368-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8842",
            "fax_number": "209-953-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRNBERG",
        "first_name": "THOMAS",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A040218",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-10877",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "48635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.