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1720198575

NPI Code Detail

MEDICARE: JANICE THOMAS MD

MEDICARE: JANICE THOMAS MD

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	2084P0800X	Psychiatry Physician	43750	CO
2	2084P0800X	Psychiatry Physician	72735	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720198575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE THOMAS MD

Provider Business Mailing Address
First Line	:	4333 E VINEYARD AVE
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93036-1013
Country	:	US
Telephone Number	:	805-981-5584
Fax Number	:

Provider Business Practice Location Address
First Line	:	4333 E VINEYARD AVE
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93036-1013
Country	:	US
Telephone Number	:	805-981-5584
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/26/2021

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Directions to “ JANICE THOMAS MD” Practice Location

Language	Start Address	Practice Location

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