DR. THOMAS LEE BOSTWICK (NPI# 1932185220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932185220 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LEE BOSTWICK |
| Credential | MD |
| Practice Address |
1001 S Seaside Ave San Pedro CA 90731-7333 |
| Mailing Address |
7507 E Farmdale Ave Mesa AZ 85208-2762 |
| Practice Telephone | 3107327500 |
| Mailing Telephone | 3107327505 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 22927 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063641173 | Thomas R. Bostwick | Pharmacist | 2603 Jackson Ave, Ann Arbor, MI 48103-3820 | 2009-07-09 |
| Street Address |
1001 S SEASIDE AVE |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336484781 | Nancy M Hejde | Physician Assistant | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2012-12-11 |
| 1992972186 | Bartholomew Jay Gaska | Technician, Other | 1001 S Seaside Ave, Bldg. 23, San Pedro, CA 90731-7333 | 2008-05-15 |
| 1972796324 | Stella Wisner | Dentist | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2007-08-20 |
| 1821130113 | Isc San Pedro Blasser Clinic | Clinic/Center | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2007-02-13 |
| 1811039001 | David Romero | Technician, Other | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2007-02-13 |
| 1831253376 | Sara Marie Mindell | Registered Nurse | 1001 S Seaside Ave, Bldg 23, San Pedro, CA 90731-7333 | 2006-12-20 |
| 1366536898 | Paul E Kender | Physical Therapist | 1001 S Seaside Ave, Bldg #23, San Pedro, CA 90731-7333 | 2006-10-02 |
| 1205933066 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2006-09-20 |
| 1528038932 | Nohea L Villanueva | Technician, Other | 1001 S Seaside Ave, Isc San Pedro Medical, San Pedro, CA 90731-7333 | 2006-01-26 |
| 1275512733 | Christopher Warren Podratz | Specialist/Technologist, Other | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588433 | Southern California Emergency Medical Group | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-05-01 |
| 1194107169 | Matthew Aaron Guess | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2015-06-25 |
| 1144252446 | Usha Rani K. Reddy | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1497787774 | Douglas Walter Mcfarland | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1174555460 | Ronnie Lee Melendez | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1861424152 | Sameer Dhiru Mistry | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1790717023 | Stephen Robert Shea | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1982636262 | John Susumu Mccall | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1740212109 | Karen Sue Hoyt | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1710919345 | Marco Antonio Diaz | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-06 |
| Find all providers in SAN PEDRO | ||||
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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.