Individual provider Active NPI

Cheryl Ann Thomas, MD

  • Family Medicine Physician
  • Tustin, CA
National Provider Identifier
1992760573
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G066547 Issued in CA
Practice address
195 S C St
Ste 100
Tustin, CA 92780-3666
Phone
(714) 669-4700
Fax
(714) 669-4707
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G066547 CA Primary

Addresses

Primary practice location

195 S C St
Ste 100
Tustin, CA 92780-3666

Mailing address

PO Box 10159
Costa Mesa, CA 92627-0050
Phone (949) 270-2100

Other identifiers 1

IdentifierTypeStateIssuer
G066547OtherCAMEDICAL LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218002378 CA Practitioner - Family Practice 7214109859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G066547CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare CurrentSince Dec 11, 2023 Accepting new patients
Peach Tree Healthcare CurrentSince Dec 11, 2023 Accepting new patients
Peach Tree Healthcare Current Accepting new patients
Share Our Selves Corporation CurrentSince Jan 4, 2021 Accepting new patients
Share Our Selves Corporation Current Accepting new patients
Share Our Selves Corporation CurrentSince Jan 4, 2021 Accepting new patients
Share Our Selves Corporation Current Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

5600 Lindhurst Ave
Marysville, CA 95901

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242

27725 Santa Margarita Pkwy
Ste 101
Mission Viejo, CA 92691
Phone (949) 462-3999

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 413-9627

1275 Tharp Rd
Yuba City, CA 95993

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cheryl.thomas.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992760573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10159",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926270050",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S C ST",
            "address_2": "STE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803666",
            "telephone_number": "714-669-4700",
            "fax_number": "714-669-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-03-07",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G066547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "G066547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.