Thomas A. Depner, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G025912 Issued in CA

Practice address

4150 V St
Nephrology Division #3500 PSSB
Sacramento, CA 95817-1460

Phone

(916) 734-3014

Fax

(916) 734-7920

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• University of California Davis Medical Center

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1922231141
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1962487561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 V ST",
            "address_2": "NEPHROLOGY DIVISION #3500 PSSB",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-3014",
            "fax_number": "916-734-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V ST",
            "address_2": "NEPHROLOGY DIVISION #3500 PSSB",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-3014",
            "fax_number": "916-734-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPNER",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G025912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G025912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jagdeep Deol, NP
• Navjot Kaur Deol, FNP
• Parminder Singh Deol, M.D.
• Mellissa Marie Depaola, ASW
• Lisa Depledge, MD
• Lesley Deprey, PHD
• Dept of Health Services
• Michelle Der
• Derek a Taggard MD a Prof Corp
• Anthony J. Deriggi, MD

• Nephrology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.