Thomas Gandy, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

GFE26987 Issued in CA

Practice address

22445 Buckboard TRL
Palo Cedro, CA 96073-9743

Phone

(530) 547-3697

NPI assigned

Dec 10, 2014

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Apr 11, 2016 through Apr 11, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Regional Radiological Associates, Inc. a Medical Group

  • Diagnostic Radiology Physician
  • Redding, CA
  • NPI 1649202888
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1316345135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22445 BUCKBOARD TRL",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739743",
            "telephone_number": "530-547-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22445 BUCKBOARD TRL",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739743",
            "telephone_number": "530-547-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "GFE26987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Vu Dinh
• Dr. Robert M. Porzio DO Inc.
• Bruce Edward Farrell, DDS
• William L Farrell, D.D.S.
• Evan Funk
• Gateway Medical Services, Inc.
• Marshall Hall III, M.D.
• Lina Hedayattzadeh
• Kerrie Jane Hoppes, MFT
• Cheri E Hougland, PA

• Diagnostic Radiology Physician in Palo Cedro, CA
• Providers in Palo Cedro, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.