Individual provider Active NPI

Thomas D Nelson, DPM

  • Podiatrist
  • Bakersfield, CA
National Provider Identifier
1629093653
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2286 Issued in CA
Practice address
1701 27TH St
Bakersfield, CA 93301-2807
Phone
(661) 322-2895
Fax
(661) 322-2897
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2286 CA Primary

Addresses

Primary practice location

1701 27TH St
Bakersfield, CA 93301-2807

Mailing address

1701 27TH St
Bakersfield, CA 93301-2807
Phone (661) 322-2895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000199 CA Practitioner - Podiatry 8022168806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians
Centennial Medical Group IncGroup PAC ID 0840345872, 5 clinicians

Practice addresses (Care Compare)

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

1801 16TH St
Suite a
Bakersfield, CA 93301-5037
Phone (661) 326-8989

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Phone (661) 322-3905

8787 Hall Rd
Lamont, CA 93241-1953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
43.37
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions1-10
Removal of nail tissue952
Removal or shaving of skin growth171
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2286CAMDPodiatrist
2286CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Mar 5, 2010 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Stockdale Podiatry Group Inc Podiatrist CurrentSince Aug 1, 2019 Accepting new patients
Clinica Sierra Vista CurrentSince Mar 5, 2010 Accepting new patients
Centennial Medical Group Inc. CurrentSince Apr 1, 2020 Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Nora Medical Inc PastSince Oct 20, 2018 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1326 H St
Ste 1
Bakersfield, CA 93301
Phone (661) 322-5900

1701 27th St
Bakersfield, CA 93301
Phone (661) 322-2895

1611 1st St
Bakersfield, CA 93304
Phone (661) 336-5300

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

815 Martin Luther King Jr Blvd
Bakersfield, CA 93307
Phone (661) 322-3905

301 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-6086

1801 16th St
Ste A
Bakersfield, CA 93301
Phone (661) 326-7500

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

8307 Brimhall Rd
Ste 1704
Bakersfield, CA 93312
Phone (661) 829-7415

1519 Garces Hwy
Ste 107
Delano, CA 93215
Phone (661) 721-8832

6310 Lake Isabella Blvd
Lake Isabella, CA 93240
Phone (760) 379-2415

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

217 W Kern Ave
Mc Farland, CA 93250
Phone (661) 792-3038

448 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tnelson20491@clinicasierravista.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1629093653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 27TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012807",
            "telephone_number": "661-322-2895",
            "fax_number": "661-322-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 27TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012807",
            "telephone_number": "661-322-2895",
            "fax_number": "661-322-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.