Organization Active NPI

Thomas M Dawes Jr MD a Medical Corporation

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1891824496
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69978 Issued in CA
Legal business name
THOMAS M DAWES JR MD A MEDICAL CORPORATION
Practice address
116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906
Phone
(825) 934-2488
Fax
(805) 934-2480
NPI assigned
Mar 2, 2007
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Thomas Michael Dawes Jr., M.D.NPI 1386668473
Title
President Ceo
Phone
(805) 934-2488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A69978 CA Primary

Addresses

Primary practice location

116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906

Mailing address

116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906
Phone (825) 934-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040413001921 CA Part B Supplier - Clinic/Group Practice 7113911900 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Maria, CA
O20120330000597 CA DME Supplier - Physician - Family Practice 7113911900 Practice locations: Santa Maria, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0587418Thomas M Dawes Jr MD116 S Palisade Drive, Suite 210, Santa Maria, CA 93454Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Locations

1145 E Clark Ave
Ste B
Santa Maria, CA 93455
Phone (805) 934-2488

2342 Professional Pkwy
Ste 310
Santa Maria, CA 93455
Phone (805) 934-2488

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1891824496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 210",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548906",
            "telephone_number": "825-934-2488",
            "fax_number": "805-934-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 210",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548906",
            "telephone_number": "825-934-2488",
            "fax_number": "805-934-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M DAWES JR MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "DAWES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "805-934-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.