NPIMap

Organization Active NPI

Thomas J Lomis, MD, Inc. a Professional Corporation

  • Surgical Oncology Physician
  • Van Nuys, CA
National Provider Identifier
1982700035
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
G83600 Issued in CA
Legal business name
THOMAS J LOMIS, MD, INC. A PROFESSIONAL CORPORATION
Practice address
15211 Vanowen St
Suite # 208
Van Nuys, CA 91405-3606
Phone
(818) 782-3255
Fax
(818) 782-7026
NPI assigned
Sep 16, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Thomis J Lomis, MD
Title
President
Phone
(818) 782-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X G83600 CA Primary

Addresses

Primary practice location

15211 Vanowen St
Suite # 208
Van Nuys, CA 91405-3606

Mailing address

15211 Vanowen St
Suite # 208
Van Nuys, CA 91405-3606
Phone (818) 782-3255

Other identifiers 1

IdentifierTypeStateIssuer
00G836001MedicaidCA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041209000825 CA Part B Supplier - Clinic/Group Practice 9739145806 Receives reassigned benefits from 13 practitioners
Practice locations: Van Nuys, CA
O20120810000208 CA DME Supplier - Physician - Surgical Oncology 9739145806 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

15211 Vanowen St
#204
Van Nuys, CA 91405

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1982700035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE # 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-782-3255",
            "fax_number": "818-782-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE # 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-782-3255",
            "fax_number": "818-782-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J LOMIS, MD, INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "LOMIS",
        "authorized_official_first_name": "THOMIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-3255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G83600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G836001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.