Thomas P Nowak MD PHD Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G59443 Issued in CA

Legal business name

THOMAS P NOWAK MD PHD INC

Practice address

515 S Sierra Ave
#109
Solana Beach, CA 92075-2245

Phone

(858) 357-6953

Fax

(858) 513-1838

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Thomas P Nowak, MD

Title

Owner

Phone

(858) 357-6953

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1538337282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750827",
            "telephone_number": "858-513-1833",
            "fax_number": "858-513-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S SIERRA AVE",
            "address_2": "#109",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752245",
            "telephone_number": "858-357-6953",
            "fax_number": "858-513-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P NOWAK MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-357-6953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G59443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G594430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Neurological Surgery Physician in California

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