MEDICARE: DR. THOMAS H RISBRUDT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	18175	CA

General Provider Information

NPI Number	:	1437204666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS H RISBRUDT DDS

Provider Business Mailing Address
First Line	:	655 CAMINO DE LOS MARES
Second Line	:	STE. 128
City	:	SAN CLEMENTE
State	:	CA
Zip	:	92673-2809
Country	:	US
Telephone Number	:	949-496-0311
Fax Number	:	949-496-8093

Provider Business Practice Location Address
First Line	:	655 CAMINO DE LOS MARES
Second Line	:	STE. 128
City	:	SAN CLEMENTE
State	:	CA
Zip	:	92673-2809
Country	:	US
Telephone Number	:	949-496-0311
Fax Number	:	949-496-8093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	03/29/2026

Similar Medicare Providers

1023182698 — DR. ELLEN JULIENNE GLYNN DDS MDS
Practice Location Address:

655 CAMINO DE LOS MARES STE 119
SAN CLEMENTE, CA
92673-2809

Practice Phone: 949-488-0600
Practice Fax:

1174591994 — DR. NAVJYOT GUJRAL M.D
Practice Location Address:

655 CAMINO DE LOS MARES , 123
SAN CLEMENTE, CA
92673-2809

Practice Phone: 949-443-1546
Practice Fax: 949-443-1077

1871529297 — FARROKH ALEMZADEH M D INC
Practice Location Address:

655 CAMINO DE LOS MARES STE 207
SAN CLEMENTE, CA
92673-2809

Practice Phone: 949-654-4325
Practice Fax: 949-654-8730

1487736617 — DR. JING CHUN ZHANG L.A.C.
Practice Location Address:

655 CAMINO DE LOS MARES , SUITE #125
SAN CLEMENTE, CA
92673-2809

Practice Phone: 949-661-1230
Practice Fax:

1720135346 — DR. GREG A BROWN M.D.
Practice Location Address:

655 CAMINO DE LOS MARES , SUITE 124
SAN CLEMENTE, CA
92673-2809

Practice Phone: 949-661-9657
Practice Fax: 949-661-1352

1003964370 — CARE GASTROENTEROLOGY MEDICAL GROUP
Practice Location Address:

655 CAMINO DE LOS MARES , SUTE 123
SAN CLEMENTE, CA
92673-2809

Practice Phone: 949-443-1546
Practice Fax: 949-443-1077

Directions to “ DR. THOMAS H RISBRUDT DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.