Active NPI
Thomas Richard Macdermaid, M.D.
- Internal Medicine Physician
- Palm Springs, CA
National Provider Identifier
1487867685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 170297-01
- Practice address
- 932 Mira Grande
Palm Springs, CA 92262-1212 - Phone
- (626) 484-9161
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 170297-01 | NY | Primary |
Addresses
Primary practice location
932 Mira Grande
Palm Springs, CA 92262-1212
Mailing address
932 Mira Grande
Palm Springs, CA 92262-1212
Phone (760) 835-6174
Other practice location 1
932 Mira Grande
Palm Springs, CA 92262-1212
Phone (626) 484-9161
Other practice location 2
136552 Cantara Street
Panorama City, CA 91402
Phone (818) 375-2815
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170297-01 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1487867685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 MIRA GRANDE",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922621212",
"telephone_number": "760-835-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 MIRA GRANDE",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922621212",
"telephone_number": "626-484-9161"
}
],
"practiceLocations": [
{
"address_1": "932 Mira Grande",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922621212",
"country_code": "US",
"telephone_number": "626-484-9161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "136552 Cantara Street",
"address_purpose": "LOCATION",
"city": "Panorama City",
"state": "CA",
"postal_code": "91402",
"country_code": "US",
"telephone_number": "818-375-2815",
"fax_number": "866-700-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDERMAID",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2021-02-10",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "170297-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.