Active NPI
Cheryl Ann Thomas, MD
- Family Medicine Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G066547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G066547 | Other | CA | MEDICAL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G066547 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Healthcare | Current | Accepting new patients | |
| Peach Tree Healthcare | Current | Accepting new patients | |
| Peach Tree Healthcare | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1003863622
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1508073685
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1245043413
-
- Federally Qualified Health Center (FQHC)
- Yuba City, CA
- NPI 1841723327
-
- Federally Qualified Health Center (FQHC)
- Newport Beach, CA
- NPI 1033514708
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1144717778
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1669258612
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.