Individual provider Active NPI

Thomas Michael Gudewicz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Camp Pendleton, CA
National Provider Identifier
1912908096
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A44176 Issued in CA
Practice address
Naval Hospital, Camp Pendleton
BLDG H100, Santa Margarita Road Attention: Code CS-PA
Camp Pendleton, CA 92055
Phone
(760) 725-0074
Fax
(760) 725-1190
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A44176 CA Primary

Addresses

Primary practice location

Naval Hospital, Camp Pendleton
BLDG H100, Santa Margarita Road Attention: Code CS-PA
Camp Pendleton, CA 92055

Mailing address

4679 Telescope Ave
Carlsbad, CA 92008-3766
Phone (760) 720-1878

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44176CAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912908096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4679 TELESCOPE AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083766",
            "telephone_number": "760-720-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL, CAMP PENDLETON",
            "address_2": "BLDG H100, SANTA MARGARITA ROAD ATTENTION: CODE CS-PA",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-0074",
            "fax_number": "760-725-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEWICZ",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A44176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.