Provider Demographics
NPI:1104715085
Name:THOMAS, JAMES JOSEPH JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 LYNMARIE DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-7011
Mailing Address - Country:US
Mailing Address - Phone:209-635-9721
Mailing Address - Fax:
Practice Address - Street 1:2076 LYNMARIE DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-7011
Practice Address - Country:US
Practice Address - Phone:209-635-9721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion