Thomas Penman, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000E21961 Issued in CA

Practice address

4820 N 1St St Ste 104
Fresno, CA 93726-0522

Phone

(559) 226-5860

Fax

(559) 224-3969

NPI assigned

Jul 23, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tpenman@625434dc.micromddirect.com

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.

• Tracey H Nguyen OD - Professional Optometric Corporation

  • Optometrist
  • Kingsburg, CA
  • NPI 1699264655
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1447271382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7058 N WEST AVE",
            "address_2": "# 175",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110462",
            "telephone_number": "559-708-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 N 1ST ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260522",
            "telephone_number": "559-226-5860",
            "fax_number": "559-224-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMAN",
        "first_name": "THOMAS",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "000E21961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21961",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas James Pendergrass
• Victoria Pendergrass
• Sean Peng, NP
• Emily Anna Pengilly
• Holly Ann Penley
• Carol Lee Penn, PH.D.
• Natasha Marie Penn
• Larry D Penner, LMFT
• Emily Pennington, SLP
• Michele R Pennywell, RN

• Podiatrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.