Thomas Laroy Kolt, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA11655 Issued in CA

Practice address

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Phone

(855) 727-2251

Fax

(855) 727-2251

NPI assigned

Jul 9, 2006

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Assistant Specialists-California IncGroup PAC ID 1355791997, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
• Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128
• St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: thomas.kolt.p1@direct.arch.nextgenshare.com
• Direct secure messaging: tkolt181989@direct.llu.edu

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.

• Physician Assistant Specialists-California Inc

  • Surgical Physician Assistant
  • Rancho Santa Margarita, CA
  • NPI 1245017185
  Medicare reassignment Care Compare group
• Arch Health Partners, Inc

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment
• Arch Health Partners

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Valley Center, CA
  • NPI 1063954683
  NPD
• Eric Rypins MD Facs Apc

  • Specialist
  • Oceanside, CA
  • NPI 1083764708
  NPD (past)
• Greer Savin MDS Inc

  • Vascular Surgery Physician
  • Escondido, CA
  • NPI 1780649954
  NPD (past)
• Ralph G Hesler, II, M.D., Inc

  • Surgery Physician
  • Oceanside, CA
  • NPI 1962500470
  NPD (past)
• Salutogenesis

  • Internal Medicine Physician
  • Oceanside, CA
  • NPI 1417601345
  NPD (past)

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

• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation
• Tri-City Hospital

  dba Tri-City Medical Center

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1841223807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "855-727-2251",
            "fax_number": "855-727-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "855-727-2251",
            "fax_number": "855-727-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Citracado Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920294159",
            "country_code": "US",
            "telephone_number": "442-281-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1622 Avenida Oceano",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920566943",
            "country_code": "US",
            "telephone_number": "760-532-7939",
            "fax_number": "760-726-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLT",
        "first_name": "THOMAS",
        "middle_name": "LAROY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "PA11655",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11655",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA11655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "11655",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kingsbury, A.T.C.
• Nicholas Kleen
• Sabina Mary Kobylinski-Tognazzini, DO
• Liza Smith Koepke, O.D.
• Morgan Kollenda, OTR/L
• Kontar Enterprises Inc (Cedars Hospice Care)
• Kundula Medical Corporation (Fitscription M.D.)
• Sridhar Kundula, M.D.
• Olita Lace, DPT
• Allyson Lynn Lake, COUNSELOR

• Surgical Physician Assistant in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.