Individual provider Active NPI

Thomas Michael McCombs, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • American Canyon, CA
National Provider Identifier
1245234582
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A 5598 Issued in CA
Practice address
110 W American Canyon Rd
Suite L4 PMB # 142
American Canyon, CA 94503-4196
Phone
(707) 317-4070
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A 5598 CA Primary
Family Medicine Physician 207Q00000X 20A 5598 CA

Addresses

Primary practice location

110 W American Canyon Rd
Suite L4 PMB # 142
American Canyon, CA 94503-4196

Mailing address

110 W American Canyon Rd
Suite L4 PMB # 142
American Canyon, CA 94503-4196
Phone (707) 317-4070

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
I20120628000307 CA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 8224293097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Osteopathic IncGroup PAC ID 8628233491, 2 clinicians

Practice addresses (Care Compare)

3431 Broadway St
A2
American Canyon, CA 94503-1228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 5598CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: thomas.mccombs.1@5641.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5641/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1245234582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W AMERICAN CANYON RD",
            "address_2": "SUITE L4 PMB # 142",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034196",
            "telephone_number": "707-317-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W AMERICAN CANYON RD",
            "address_2": "SUITE L4 PMB # 142",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034196",
            "telephone_number": "707-317-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A 5598",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 5598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Canyon, CA

Sources for this page

Verify at the official NPI Registry.