Thomas Henry Vincent II, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3864 Issued in CA

Practice address

620 W Tefft St
Nipomo, CA 93444-9187

Phone

(805) 929-8055

Fax

(805) 929-8066

NPI assigned

Jun 27, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Carrie Silveira, D.C. Mesa Natural Health Chiropractic, Inc

  • Chiropractor
  • Nipomo, CA
  • NPI 1134839327
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881621639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W TEFFT ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449187",
            "telephone_number": "805-929-8055",
            "fax_number": "805-929-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W TEFFT ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449187",
            "telephone_number": "805-929-8055",
            "fax_number": "805-929-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3864",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOGRAPHY",
            "identifier": "RHC140373",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480015952",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Thorensen
• Two Palms Family Therapy Inc.
• Melia A Valentine
• Alberta Vega, RDH
• Daniel E Vincent, DC
• Vons Companies Inc (Vons Pharmacy #1621)
• Paul A Walker, DDS
• Ashley Foyt Wells, FNP
• Esperanza R Wilkinson
• Tonya Sue Willett, LMFT

• Foot & Ankle Surgery Podiatrist in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.