THOMAS ALLEN WOODBURY


Address: 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295
Phone: 9099419927

THOMAS ALLEN WOODBURY (NPI# 1609878115) 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) 1609878115
Entity Type Individual
Full Name THOMAS ALLEN WOODBURY
Credential D.O.
Practice Address 9089 Baseline Rd
Suite 100
Rancho Cucamonga
CA 91730-1295
Practice Telephone 9099419927
Practice Fax Number 9099419027
Mailing Telephone 9099419927
Mailing Fax Number 9099419027
Enumeration Date 2005-08-15
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
20A5929 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00AX59290 05

Office Location

Street Address 9089 BASELINE RD
SUITE 100
City RANCHO CUCAMONGA
State CA
Zip Code 91730-1295

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942674924 Rend Integrative Inc Psychiatry & Neurology 9089 Baseline Rd, Suite 200, Rancho Cucamonga, CA 91730-1295 2015-11-13
1427485762 Daniel Hestehauge Physician Assistant 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 2013-10-01
1891081485 Liza M Gonzalez Family Medicine 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 2011-06-22
1356670657 Pooya Mobasseri Family Medicine 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 2009-12-15
1356674493 Brian Terry Shaw Family Medicine 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 2009-09-08
1700053519 Holly Miller Psychologist 9089 Baseline Rd, Ste #200, Rancho Cucamonga, CA 91730 2008-05-12
1316155310 Angela Jo Cochran Physician Assistant 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 2007-05-21
1790908382 Lisa Maria Shaheen Marriage & Family Therapist 9089 Baseline Rd, Rancho Cucamonga, CA 91730-1295 2007-04-11
1780708602 John Charles Oliveri Psychologist 9089 Baseline Rd, Suite 200, Rancho Cucamonga, CA 91730-1295 2007-03-17
1417094277 Genevieve B Buenaflor Family Medicine 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 2007-01-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932722444 Alliancerx Health Solutions, LLC. Clinical Medical Laboratory 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 2020-05-19
1346860194 Wecare Dialysis Center Clinic/Center 8591 Grove Ave, Rancho Cucamonga, CA 91730 2020-04-22
1982235263 Mel Latone Family Counseling, Inc. Marriage & Family Therapist 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 2020-01-27
1205471240 Breena Nakamoto Social Worker 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 2019-11-13
1497300180 Laura Estela Le Behavior Technician 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 2019-08-08
1336792100 Swan Psychological Services, Inc. Psychologist 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 2019-07-22
1568023745 Mariah Wright Behavior Technician 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 2019-06-27
1770140378 Amanda Ware Clinic/Center 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 2019-05-20
1265995435 Collaborative Autism Management Programs Inc. Community/Behavioral Health 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 2019-04-12
1700361326 Brittany Rhone Behavioral Analyst 933 Baseline Rd, Rancho Cucamonga, CA 91730 2018-09-28
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033665252 Mihir K. Sanghvi, M.d., Inc. Family Medicine 5155 Seagreen Ct, Rancho Cucamonga, CA 91739-2637 2016-08-28

Providers in the same taxonomy and state

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1013516996 Natasha Harmis Family Medicine 1608 Lawndale Rd, El Cajon, CA 92019-3776 2020-10-21
1073135406 California Gerontology Clinic Family Medicine 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 2020-05-07
1225657331 Samantha Lillian Escalera Family Medicine 9608 Planter St, Pico Rivera, CA 90660-4743 2020-04-09
1164058897 Amani A Osman Family Medicine 9753 Holder St, Cypress, CA 90630-4004 2020-03-13
1396378980 David F Shirley M D P C Family Medicine 4001 Impala Circle, Roseville, CA 95678 2020-02-21
1013549914 Vertini Medical Group Inc Family Medicine 1001 W Carson St Ste S, Torrance, CA 90502-2051 2020-02-07
1295297463 Cedars Family Medicine Inc Family Medicine 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 2019-04-04
1811455967 Hope Geriatric Medical Center Inc Family Medicine 9 Coursan, Laguna Niguel, CA 92677-8902 2019-03-07
1245702174 Jonah Medical Group Inc Family Medicine 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 2018-12-17
1104392885 Wilshire Connected Care Family Medicine 277 South St Ste S, San Luis Obispo, CA 93401-5039 2018-10-19
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Competitor

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City RANCHO CUCAMONGA
Zip Code 91730

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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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