Individual provider Active NPI

Michael Joseph Thesing, MD

  • Obstetrics Physician
  • National City, CA
National Provider Identifier
1821084294
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G164057 Issued in CA
Practice address
655 Euclid Ave Ste 409
National City, CA 91950-2981
Phone
(619) 267-8313
Fax
(619) 472-2008
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X G164057 CA Primary
Obstetrics & Gynecology Physician 207V00000X 35.058885 OH

Addresses

Primary practice location

655 Euclid Ave Ste 409
National City, CA 91950-2981

Mailing address

655 Euclid Ave Ste 409
National City, CA 91950-2981
Phone (619) 267-8313

Other practice location 1

330 N Main St
Centerville, OH 45459-4465
Phone (937) 435-1445

Other identifiers 1

IdentifierTypeStateIssuer
0908978MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210806002168 CA Practitioner - Obstetrics/Gynecology 7911180567 Reassigns benefits to 1 organization
I20260326001510 HI Practitioner - Obstetrics/Gynecology 7911180567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

82 Puuhonu PL
Suite 205
Hilo, HI 96720-2010
Phone (808) 961-6608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.058885OHMDObstetrics & Gynecology Physician
G164057CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay OBGYN Obstetrics CurrentSince Jan 1, 2023 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jul 16, 2021 Accepting new patients
South Bay OB/GYN Medical Group, Inc. PastSince Aug 23, 2020 Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

655 Euclid Ave
Ste 409
National City, CA 91950
Phone (619) 267-8313

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1821084294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 409",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502981",
            "telephone_number": "619-267-8313",
            "fax_number": "619-472-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 409",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502981",
            "telephone_number": "619-267-8313",
            "fax_number": "619-472-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Main St",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594465",
            "country_code": "US",
            "telephone_number": "937-435-1445",
            "fax_number": "937-439-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THESING",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G164057",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.058885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908978",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.