OTIS VICTOR THOMAS JR. (NPI# 1124275060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124275060 |
| Entity Type | Individual |
| Full Name | OTIS VICTOR THOMAS JR. |
| Credential | M.D. |
| Practice Address |
2501 Mabry Dr Sacramento CA 95835-1501 |
| Mailing Address |
Po Box 51681 Pacific Grove CA 93950-6681 |
| Practice Telephone | 8315949569 |
| Mailing Telephone | 8315949569 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C37206 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2501 MABRY DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95835-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331596 | Pratik K Patel | Pharmacist | 3701 J Street, Sacramento, CA 95835 | 2018-10-05 |
| 1821536863 | Med Rydz Inc. | Non-emergency Medical Transport (VAN) | 2141 Raymar Court, Sacrameno, CA 95835 | 2017-02-10 |
| 1790146819 | Tina Jagpal | Occupational Therapist | 3747 Gresham Lane, Sacramento, CA 95835 | 2016-03-16 |
| 1669857827 | Sheree Turner | Non-emergency Medical Transport (VAN) | 4910 Westlake Pkwy, Sacramento, CA 95835 | 2015-07-29 |
| 1528461779 | Diane Davina | Nurse Practitioner | 3810 Rosin Ct Suite 100, Peachtree Healthcare, Sacramento, CA 95835 | 2014-10-02 |
| 1669881488 | Sheik Ellias I | Pharmacist | 1861 Acari Ave, Sacramento, CA 95835 | 2014-08-06 |
| 1801153838 | Quin Loren Mcpherron | Military Health Care Provider | 3 Hyannis Port Place, Sacramento, CA 95835 | 2012-04-16 |
| 1639327976 | Gabriele Dorthea Toremann | Counselor | 5444 Elderdown Way, Sacramento, CA 95835 | 2008-08-28 |
| 1295905982 | Xin Li | Physical Therapist | 2644 Macon Way, Sacramento, CA 95835 | 2008-03-10 |
| 1447371059 | Judith M Boyd | Marriage & Family Therapist | 5148 Fredericksburg Wy, Sacramento, CA 95835 | 2007-04-02 |
| Find all providers in zip 95835 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1518467984 | Yasuo Takegoshi | General Practice | 1935 Stockton Blvd, Sacramento, CA 95816-6637 | 2018-02-12 |
| 1386084283 | Anthony J.t. Sabo | General Practice | 2315 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817-2201 | 2013-06-25 |
| 1992046981 | Mahendra Datt Sharma | General Practice | 4106 Garden Hwy, Sacramento, CA 95834 | 2013-03-15 |
| 1447596598 | Teresa Shea Pappas | General Practice | 440 Estates Dr, Sacramento, CA 95864-6046 | 2012-12-18 |
| 1396929436 | Robert Michael Hawkins | General Practice | 3609 Bradshaw Rd # 432, Sacramento, CA 95827-3275 | 2007-12-26 |
| 1730398017 | Jonathan Schwartz | General Practice | 1010 Hurley Way, Sacramento, CA 95825-3215 | 2007-05-22 |
| 1528270063 | Gustavo A Rosales Md, Inc | General Practice | 5385 Franklin Blvd Suite K, Sacramento, CA 95820 | 2007-05-04 |
| 1871669507 | Joseph Charles Heffernan Sr. | General Practice | 2628 El Camino Avenue, Suite A 8, Sacramento, CA 95821-5934 | 2006-11-27 |
| 1457438103 | Kristopher Kordana | General Practice | 4860 Y St Ste 0100, Sacramento, CA 95817-2307 | 2006-11-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95835 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.