Individual provider Active NPI

Daniel Thomas, M.D.

  • Plastic Surgery Physician
  • Chico, CA
National Provider Identifier
1194783548
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A052883 Issued in CA
Practice address
619 W East Ave
Chico, CA 95926-7201
Phone
(530) 891-4391
Fax
(530) 891-0751
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A052883 CA Primary

Addresses

Primary practice location

619 W East Ave
Chico, CA 95926-7201

Mailing address

619 W East Ave
Chico, CA 95926-7201
Phone (530) 891-4391

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
I20111130000363 CA Practitioner - Plastic and Reconstructive Surgery 6709050891 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A052883CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince May 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince May 1, 2020 Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

Interoperability endpoints

  • Direct secure messaging: dthomas15474@enloedirect.org

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1194783548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-891-4391",
            "fax_number": "530-891-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-891-4391",
            "fax_number": "530-891-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A052883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.