Thomas C Carmody, P.A.,C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OPA137830 Issued in CA

Practice address

2801 K St Ste 310
Sacramento, CA 95816-5119

Phone

(916) 454-6677

Fax

(916) 733-8741

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lodi Memorial Hospital Association, Inc

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment
• Adventist Health Heart Institute-Ukiah

  • Multi-Specialty Clinic/Center
  • Ukiah, CA
  • NPI 1417295643
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1184731713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HOSPITAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235403",
            "telephone_number": "916-423-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST STE 310",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165119",
            "telephone_number": "916-454-6677",
            "fax_number": "916-733-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "P.A.,C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "OPA137830",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "OPA137830",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "OPA137830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165306",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIF.",
            "identifier": "ZZZ00355Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "170865900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Donald Carmichael, PH.D.
• Catherine Helen Carmichael, M.S., R.D., CDE
• Wendy Ann Carmickle
• Brendan Carmody, MD
• Danielle Rebecca Carmody
• Chrystal Carmona
• Emily Carmona
• Mussayeth Carmona
• Graham Robert Carnahan
• Rylan Carnahan

• Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.