Healthcare Provider Details

I. General information

NPI: 1437346004
Provider Name (Legal Business Name): THOMAS D STOSS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10535 HOSPITAL WAY BLDG 651
MATHER CA
95655-4200
US

IV. Provider business mailing address

10535 HOSPITAL WAY BLDG 651
MATHER CA
95655-4200
US

V. Phone/Fax

Practice location:
  • Phone: 800-382-8387
  • Fax:
Mailing address:
  • Phone: 800-382-8387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number43228
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: