Provider Demographics
NPI:1891781217
Name:THOMAS, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1122 N IRWIN ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-2928
Mailing Address - Country:US
Mailing Address - Phone:559-584-4427
Mailing Address - Fax:559-584-5863
Practice Address - Street 1:1122 N IRWIN ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-2928
Practice Address - Country:US
Practice Address - Phone:800-627-9314
Practice Address - Fax:559-298-0139
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG246772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G246770Medicaid
CA00G246770Medicare ID - Type Unspecified
CA00G246770Medicaid