Healthcare Provider Details

I. General information

NPI: 1588674634
Provider Name (Legal Business Name): MICHELLE A THOMAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7455 N FRESNO ST STE 202
FRESNO CA
93720-2481
US

IV. Provider business mailing address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

V. Phone/Fax

Practice location:
  • Phone: 559-471-8471
  • Fax: 559-235-0128
Mailing address:
  • Phone: 559-499-1233
  • Fax: 599-499-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA62122
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA62122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: