PETER A THOM


Address: 405 Traffic Way, Suite A, Arroyo Grande, CA 93420-3346
Phone: 8054814202

PETER A THOM (NPI# 1578598488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578598488
Entity Type Individual
Full Name PETER A THOM
Credential MD
Practice Address 405 Traffic Way
Suite A
Arroyo Grande
CA 93420-3346
Practice Telephone 8054814202
Practice Fax Number 8054810223
Mailing Telephone 8054814202
Mailing Fax Number 8054810223
Enumeration Date 2006-07-11
Last Update Date 2015-01-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
G39102 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G391020 05

Office Location

Street Address 405 TRAFFIC WAY
SUITE A
City ARROYO GRANDE
State CA
Zip Code 93420-3346

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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578725495 Coastal Cardiology A Medical Corp Internal Medicine 310 South Halcyon Road Ste 105, Arroyo Grande, CA 93420-3872 2008-07-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962000141 Suman S Kuppahally, M.d. Inc Internal Medicine 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 2020-10-11
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1295351740 Penciu Medical Apmc Internal Medicine 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 2020-06-21
1679113336 La Pulse Medical, Inc Internal Medicine 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 2020-01-10
1770122871 John R. Nelson M.d. Inc. Internal Medicine 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 2020-01-06
1730725789 Norcal Medical Services, Inc Internal Medicine 2267 Lava Ridge Ct, Roseville, CA 95661-3062 2019-11-25
1932750957 Enloe Medical Center Internal Medicine 1430 Esplanade Ste 6, Chico, CA 95926-3366 2019-09-20
1528610425 Nicholas Russell Internal Medicine 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 2019-07-10
1043871627 Gy Medical Clinic Inc Internal Medicine 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 2019-06-25
1902465792 Pacific Heart & Vascular Internal Medicine 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 2019-06-06
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Competitor

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City ARROYO GRANDE
Zip Code 93420

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Dataset Information

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.

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