Catherine Nicole Thomas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101276007 Issued in VA

Practice address

BLDG 3005 Sr 108
Bridgeport, CA 93517

Phone

(760) 932-1616

Fax

(760) 932-1623

NPI assigned

Mar 5, 2021

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1881289379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 3005 SR 108",
            "city": "BRIDGEPORT",
            "state": "CA",
            "postal_code": "93517",
            "telephone_number": "760-932-1616",
            "fax_number": "760-932-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 3005 SR 108",
            "city": "BRIDGEPORT",
            "state": "CA",
            "postal_code": "93517",
            "telephone_number": "760-932-1616",
            "fax_number": "760-932-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CATHERINE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101276007",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane E Postler, IDC
• Michael Dale Richardson
• Tommy Savedra, PA
• Caryn Kendra Slack, M.D.
• Southern Mono Health Care District (Bridgeport Family Medicine Clinic)
• William Douglas Todd, P.A-C
• Greg Urick

• Family Medicine Physician in Bridgeport, CA
• Providers in Bridgeport, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.