DR. THEODORE S. THOMAS (M.D.) – Nephrology Physician, NPI 1669477113
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DR. THEODORE S. THOMAS (M.D.)
4th Avenue, Otay, Chula Vista, San Diego County, California, 92154, United States
STE 220
SAN DIEGO, CA 921032120
Phone: (619) 299-2350
Fax: (619) 297-8379
Type: Location
9610, Granite Ridge Drive, San Diego, San Diego County, California, 92123, United States
STE B
SAN DIEGO, CA 921232684
Phone: (858) 810-8000
Fax: (858) 268-1911
Type: Mailing
4225 EXECUTIVE SQ STE 450
LA JOLLA, CA 920378411
Phone: (858) 810-0000
Fax: (858) 268-1911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92103)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | CA | |
| - | CA | |
| Nephrology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | CA | |
| N E P H R O L O G Y | CA | |
| Nephrology, Internal Medicine | CA | |
| Vascular Surgery, Emergency Medicine | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nephrology, Internal Medicine | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.