Active NPI
Gregory Thomas
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1609058619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT78633
- Practice address
- 3635 Ruffin Rd Ste 100
San Diego, CA 92123-1853 - Phone
- (858) 300-0460
- NPI assigned
- Nov 30, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT78633 | CA | Primary |
Addresses
Primary practice location
3635 Ruffin Rd Ste 100
San Diego, CA 92123-1853
Mailing address
4725 Mansfield St Apt 4
San Diego, CA 92116-2450
Phone (619) 761-0259
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53380 | CA | MD | Mental Health Counselor |
| LMFT78633 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1609058619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 MANSFIELD ST APT 4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921162450",
"telephone_number": "619-761-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 RUFFIN RD STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231853",
"telephone_number": "858-300-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT78633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.