Individual provider Active NPI

Thomas M Saczynski, THOMAS SACZYNSKI, MS

  • Student in an Organized Health Care Education/Training Program
  • Yucaipa, CA
National Provider Identifier
1891124236
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
10974 Ramona St
Yucaipa, CA 92399-9523
Phone
(909) 800-0255
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

10974 Ramona St
Yucaipa, CA 92399-9523

Mailing address

10974 Ramona St
Yucaipa, CA 92399-9523
Phone (909) 800-0255

Other names 1

  • Thomas M Saczynski Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1891124236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10974 RAMONA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999523",
            "telephone_number": "909-800-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10974 RAMONA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999523",
            "telephone_number": "909-800-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACZYNSKI",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "THOMAS SACZYNSKI, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SACZYNSKI",
            "middle_name": "M",
            "credential": "THOMAS SACZYNSKI, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.