Individual provider Active NPI

Thomas J McDonald, MD

  • Ophthalmology Physician
  • Martinez, CA
National Provider Identifier
1710948427
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G80074 Issued in CA
Practice address
1815 Arnold Dr
Martinez, CA 94553-4219
Phone
(925) 817-0496
Fax
(925) 954-6939
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G80074 CA Primary

Addresses

Primary practice location

1815 Arnold Dr
Martinez, CA 94553-4219

Mailing address

1815 Arnold Dr
Martinez, CA 94553-4219
Phone (925) 817-0496

Other practice location 1

2500 Alhambra Ave
Martinez, CA 94553-3156
Phone (925) 370-5000 ext. 5852

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000402 CA Practitioner - Ophthalmology 4486667375 Receives reassigned benefits from 1 practitioner
Practice locations: Martinez, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1815 Arnold Dr
Martinez, CA 94553-4219
Phone (925) 817-0496

Hospital & facility affiliations

  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G80074CAMDOphthalmology Physician

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1710948427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ARNOLD DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534219",
            "telephone_number": "925-817-0496",
            "fax_number": "925-954-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 ARNOLD DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534219",
            "telephone_number": "925-817-0496",
            "fax_number": "925-954-6939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Alhambra Ave",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945533156",
            "country_code": "US",
            "telephone_number": "925-370-5000 x5852",
            "fax_number": "925-646-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G80074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.