Healthcare Provider Details

I. General information

NPI: 1164581732
Provider Name (Legal Business Name): THOMAS I. SWEET MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13022 SEAGROVE ST
SAN DIEGO CA
92130-3203
US

IV. Provider business mailing address

13022 SEAGROVE ST
SAN DIEGO CA
92130-3203
US

V. Phone/Fax

Practice location:
  • Phone: 858-350-9703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number82902
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberG56181
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number82902
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: