Organization Active NPI

Andrew J Thomas MD Inc

Doing business as Sierra Nevada Sinus Center and ENT

  • Otolaryngology Physician
  • Grass Valley, CA
National Provider Identifier
1992371074
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ANDREW J THOMAS MD INC
Doing business as
Sierra Nevada Sinus Center and ENT
Practice address
123 Margaret LN Ste B1
Grass Valley, CA 95945-5268
Phone
(530) 410-0368
Fax
(530) 410-0864
NPI assigned
May 31, 2021
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Dr. Andrew J Thomas, MDNPI 1922340579
Title
Owner
Phone
(530) 410-0368

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

123 Margaret LN Ste B1
Grass Valley, CA 95945-5268

Mailing address

123 Margaret LN Ste C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368

Other practice location 1

123 Margaret Ln Ste C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368

Other names 1

  • Sierra Nevada Sinus Center and ENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723000638 CA Part B Supplier - Clinic/Group Practice 9234532581 Receives reassigned benefits from 1 practitioner
Practice locations: Grass Valley, CA

National Provider Directory

National Provider Directory

Locations

123 Margaret Ln
Ste B1
Grass Valley, CA 95945
Phone (530) 410-0368

123 Margaret Ln
Ste C1
Grass Valley, CA 95945
Phone (530) 274-9623

Practitioners & affiliated clinicians

Practitioners 1

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": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1992371074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MARGARET LN STE C1",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455268",
            "telephone_number": "530-410-0368",
            "fax_number": "530-410-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARGARET LN STE B1",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455268",
            "telephone_number": "530-410-0368",
            "fax_number": "530-410-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Margaret Ln Ste C1",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455268",
            "country_code": "US",
            "telephone_number": "530-410-0368",
            "fax_number": "530-410-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDREW J THOMAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-410-0368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada Sinus Center and ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.