Thomas T. Omoto, DMD Inc

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

THOMAS T. OMOTO, DMD INC

Doing business as

Peninsula Oral Surgery & Implants

Practice address

3445 Pacific Coast Hwy
Suite 205
Torrance, CA 90505

Phone

(310) 325-7800

Fax

(310) 325-7804

NPI assigned

Jul 15, 2006

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas T. Omoto, DMD

Title

President

Phone

(310) 325-7800

Specialties & licenses 2

Addresses

Other names 1

• Peninsula Oral Surgery & Implants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Nguyen, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Torrance, CA
  • NPI 1821480856

  Single Specialty

  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1255357893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY",
            "address_2": "SUITE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-325-7800",
            "fax_number": "310-325-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY",
            "address_2": "SUITE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-325-7800",
            "fax_number": "310-325-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS T. OMOTO, DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "OMOTO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-325-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "31506",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Oral Surgery & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapy Naturally
• Therex Station Physical Therapy Inc.
• Thisha Thiagarajan, MD
• Thomas Brown MD
• Thomas S Lin MD, Inc
• Carmen R Thomas
• Chinwe J Thomas
• Cristol Renee Thomas
• Debra Thomas, B.S.
• Edward Donell Thomas

• Oral & Maxillofacial Surgery (D.M.D.) in Torrance, CA
• Providers in Torrance, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.