Individual provider Active NPI

David E Thomas, MD

  • MOHS-Micrographic Surgery Physician
  • Encintas, CA
National Provider Identifier
1770515884
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G59826 Issued in CA
Practice address
477 N. El Camino Real C312
Encintas, CA 92024
Phone
(760) 230-2805
Fax
(760) 230-2802
NPI assigned
Jul 7, 2006
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G59826 CA
MOHS-Micrographic Surgery Physician 207ND0101X G59826 CA Primary

Addresses

Primary practice location

477 N. El Camino Real C312
Encintas, CA 92024

Mailing address

3613 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-5340

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
I20050810000360 CA Practitioner - Dermatology 9638108616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Dermatology Center GPGroup PAC ID 6406116573, 3 clinicians

Practice addresses (Care Compare)

477 N El Camino Real
Suite C312
Encinitas, CA 92024-1328
Phone (760) 230-2805

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as individual
Quality
72.82
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision95
Removal of tissue1-10
Removal of skin lesions2351
Removal of skin cancer169
Removal or shaving of skin growth1-10
Skin biopsy263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59826CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Dermatologist Medical Group of North County, Inc Dermatology CurrentSince Sep 6, 2005 Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

1200 Garden View Rd
Ste 108
Encinitas, CA 92024
Phone (760) 942-1311

3613 Vista Way
Oceanside, CA 92056
Phone (760) 758-5340

Interoperability endpoints

  • Direct secure messaging: dthomas81672@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1770515884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-758-5340",
            "fax_number": "760-758-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N. EL CAMINO REAL C312",
            "city": "ENCINTAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-230-2805",
            "fax_number": "760-230-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G59826",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G59826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encintas, CA

Sources for this page

Verify at the official NPI Registry.