Thomas Patrick Dickerson

Primary specialty

Orthopedic AssistantTaxonomy code 246ZX2200X

Practice address

9850 Genesee Ave Ste 210
La Jolla, CA 92037-1206

Phone

(858) 535-1075

Fax

(858) 452-3283

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1265185011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371206",
            "telephone_number": "858-535-1075",
            "fax_number": "858-452-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371206",
            "telephone_number": "858-535-1075",
            "fax_number": "858-452-3283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12865 Pointe Del Mar Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920143860",
            "country_code": "US",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana NG MD Inc
• Alicia Jeanne Diaz-Conti
• David Diaz
• Nahia Dib El Jalbout, MD
• James Donald Dibdin, M.D.
• Gregory L. Dickson, PH.D.
• Benjamin Digrazia, FNP
• Christopher Dijanic, MD
• L Dinenberg, M.D.
• Robert Eric Dinenberg, M.D.

• Other Specialist/Technologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.