SEAN R THOMAS M D INC NPI 1134524663

NPI Information

NPI: 1134524663
Provider Name: SEAN R THOMAS M D INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
11 MAREBLU STE 210
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 831-1001
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SEAN R THOMAS M D INC is a family nurse practitioner in Aliso Viejo, CA. SEAN R THOMAS M D INC NPI is 1134524663. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11 MAREBLU STE 210
ALISO VIEJO, CA
ZIP 92656-044
Phone: (949) 831-1001

The provider's authorized official is Sean R Thomas .
The authorized official title is Ceo and has the following contact phone number (760) 364-5149.

The enumeration date for this NPI number is 10/27/2014 and was last updated on 12/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A60305	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H10323	MEDICARE UPIN	CALIFORNIA
2	A60305	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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