Joseph C Tholmer, CASI
Individual provider Active NPI Specialist · Lotus, CA
NPI 1649415332 · NPPES record last updated Dec 9, 2008
Key facts
- NPI
- 1649415332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 9041 (CA)
- Practice address
- 838 Beach Court
Lotus, CA 95614 - Phone
- (916) 628-9813
- NPI assigned
- Dec 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9041 | CA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9041 | CA | Yes |
Addresses
Primary practice location
838 Beach Court
Lotus, CA 95614
Mailing address
PO Box 437
Coloma, CA 95613-0437
Phone (916) 628-9813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9041 | Other | CA | CAARR |
Other providers in Lotus, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.