Sean R Thomas MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A60305 Issued in CA

Legal business name

SEAN R THOMAS MD, INC

Practice address

55585 29 Palms Hwy
Yucca Valley, CA 92284-2505

Phone

(760) 228-3366

Fax

(760) 228-3369

NPI assigned

Apr 18, 2007

Last updated

Feb 26, 2015By 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

Ms. Januarie Bautisa

Title

Contracts Director

Phone

(760) 228-3366

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sean R Thomas MD, Inc

  dba American Desert Medical Clinic

  • Rural Health Clinic/Center
  • Twentynine Palms, CA
  • NPI 1154336246

  6002899945

  Same PAC ID
• Sean R Thomas MD, Inc

  • Rural Health Clinic/Center
  • Yucca Valley, CA
  • NPI 1386869147

  6002899945

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sean R Thomas M D Inc

  • Family Nurse Practitioner
  • Aliso Viejo, CA
  • NPI 1134524663

  O20121003000208

  Same enrollment

Tax ID family

Sean R Thomas MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Sean R Thomas MD, Inc

  dba American Desert Medical Clinic

  • Rural Health Clinic/Center
  • Twentynine Palms, CA
  • NPI 1154336246
  NPD tax ID
• Sean R Thomas MD, Inc

  • Rural Health Clinic/Center
  • Yucca Valley, CA
  • NPI 1386869147
  NPD tax ID
• Sean R Thomas MD, Inc

  dba American Desert Medical Clinic

  • Family Medicine Physician
  • Twentynine Palms, CA
  • NPI 1497970255
  NPD tax ID

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.

• Sean R Thomas, MD

  • General Practice Physician
  • Yucca Valley, CA
  • NPI 1093725855
  Medicare reassignment NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1447476312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55585 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842505",
            "telephone_number": "760-228-3366",
            "fax_number": "760-228-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55585 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842505",
            "telephone_number": "760-228-3366",
            "fax_number": "760-228-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN R THOMAS MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "BAUTISA",
        "authorized_official_first_name": "JANUARIE",
        "authorized_official_title_or_position": "CONTRACTS DIRECTOR",
        "authorized_official_telephone_number": "760-228-3366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60305",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia A Schopen
• Tiffiny Schuler
• Gerald R Schultz, MD
• Jenna T. Schumow
• Sean R Thomas MD, Inc
• Esmaeil Sebti, M.D.
• Seed8 LLC (Optimum Health Services Non-Emergency Medical Transport)
• Seip Orthopedic Surgery
• Seip Orthopedic Surgery II PC
• Jeffrey David Seip, MD

• Family Medicine Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.