Maria Jeannette Thomas

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-UHWQSX Issued in CA

Practice address

1620 Cummins Dr
Modesto, CA 95358-6400

Phone

(209) 622-1420

Fax

(209) 491-0627

NPI assigned

Mar 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• M Jeannette Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1619243185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GALVEZ AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552516",
            "telephone_number": "209-303-8465",
            "fax_number": "209-491-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CUMMINS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586400",
            "telephone_number": "209-622-1420",
            "fax_number": "209-491-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARIA",
        "middle_name": "JEANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-UHWQSX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "THOMAS",
            "middle_name": "JEANNETTE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cristian Thomas-Jones
• Cindy Thomas, CFM
• Courtney Thomas
• Ebony Dene Thomas
• Jennifer Thomas
• Michael Scott Thomas, PH.D.
• Remil E Thomas, MD
• Ruth A. Thomas, RN MSN FNP
• Caspian Thomasian
• Denise M Thomason

• All providers in Modesto, CA
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.