Individual provider Active NPI

Gregory W. Thomas, M.D.

  • Family Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1326192816
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G46138 Issued in CA
Practice address
1 Grand Ave
California Polytechnic State University San Luis Obispo
San Luis Obispo, CA 93407-0210
Phone
(805) 756-1211
Fax
(805) 756-5298
NPI assigned
Jan 22, 2007
Last updated
Aug 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G46138 CA Primary

Addresses

Primary practice location

1 Grand Ave
California Polytechnic State University San Luis Obispo
San Luis Obispo, CA 93407-0210

Mailing address

116 Cerro Romauldo Ave
San Luis Obispo, CA 93405-1273
Phone (805) 544-6147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46138CAMDDentist
G46138CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1326192816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CERRO ROMAULDO AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051273",
            "telephone_number": "805-544-6147",
            "fax_number": "805-756-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE",
            "address_2": "CALIFORNIA POLYTECHNIC STATE UNIVERSITY SAN LUIS OBISPO",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934070210",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GREGORY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G46138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.