SEAN R THOMAS MD, INC (NPI# 1154336246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154336246 |
| Entity Type | Organization |
| Organization Name | SEAN R THOMAS MD, INC |
| Other Organization Name | AMERICAN DESERT MEDICAL CLINIC |
| Practice Address |
6186 Adobe Rd Twentynine Palms CA 92277-2652 |
| Mailing Address |
55585 29 Palms Hwy Yucca Valley CA 92284-2505 |
| Practice Telephone | 7603618525 |
| Practice Fax Number | 7603618528 |
| Mailing Telephone | 7602283366 |
| Mailing Fax Number | 7602283369 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | MS. JANUARIE BAUTISTA (CONTRACTS DIRECTOR) |
| Authorized Official Telephone | 7602283366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53885G | 05 |
| Other Name | Type Code |
|---|---|
| American Desert Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447476312 | Sean R Thomas Md, Inc | Pediatrics | 55585 29 Palms Hwy, Yucca Valley, CA 92284-2505 | 2007-04-18 |
| 1386869147 | Sean R Thomas Md, Inc | Family Medicine | 55585 29 Palms Hwy, Yucca Valley, CA 92284-2505 | 2007-04-16 |
| 1497970255 | Sean R Thomas Md, Inc | Pediatrics | 6186 Adobe Rd, Twentynine Palms, CA 92277-2652 | 2007-04-16 |
| Street Address |
6186 ADOBE RD |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92277-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497970255 | Sean R Thomas Md, Inc | Pediatrics | 6186 Adobe Rd, Twentynine Palms, CA 92277-2652 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1932755352 | Candace Irene Myer | Registered Nurse | Mcagcc Mccs Stepping Stones, Del Zalle Dr Building 693, Twentynine Palms, CA 92277 | 2019-08-12 |
| 1831759018 | Courtney Vindigni | Student in an Organized Health Care Education/Training Program | Twentynine Palms, Fpo, AA 92277 | 2019-06-19 |
| 1841857612 | Jasmine E Gomez | Behavior Technician | 8315 Argos Rd, Unit A, 29 Palms, CA 92277 | 2019-05-28 |
| 1861961955 | Golam Subhani Chowdhury | Physician Assistant | 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 | 2018-11-19 |
| 1093283202 | James Degracie | Dentist | 1519 Griffin Rd, Twentynine Palms, CA 92277 | 2018-11-06 |
| 1659829141 | Sang Eun Lee Dental Corp | Dentist | 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 | 2016-09-14 |
| 1396115374 | Sarah Camille Paje | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92277 | 2015-10-02 |
| 1053733527 | Hi-desert Memorial Health Care District | Clinic/Center | 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277 | 2014-01-17 |
| 1871897389 | An Nguyen Dds Prof Corp | Dentist | 73666 Joshua Dr., Twentynine Palms, CA 92277 | 2010-12-28 |
| Find all providers in zip 92277 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92277 |
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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.