MEDICARE: DR. THOMAS EDWARD BOOTH 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	207R00000X	Internal Medicine Physician	G69034	CA

General Provider Information

NPI Number	:	1245278027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EDWARD BOOTH MD

Provider Business Mailing Address
First Line	:	308 CAPSTAN CT
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94065-1024
Country	:	US
Telephone Number	:	650-868-2846
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 WINWARD WAY STE 101
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94404-2499
Country	:	US
Telephone Number	:	650-288-0596
Fax Number	:

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	10/05/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1376526525 — ORNA ELIAV-MEIRI PHYSICAL THERAPIST
Practice Location Address:

2001 WINWARD WAY , 101
SAN MATEO, CA
94404-2499

Practice Phone: 650-571-6800
Practice Fax: 650-571-1260

1669490777 — MR. GARY M BERKE MS, CP
Practice Location Address:

2001 WINWARD WAY , SUITE 100
SAN MATEO, CA
94404-2499

Practice Phone: 650-365-5861
Practice Fax: 650-365-5896

1467635367 — GARY M BERKE MS, CP
Practice Location Address:

2001 WINWARD WAY , SUITE 100
SAN MATEO, CA
94404-2499

Practice Phone: 650-365-5861
Practice Fax: 650-365-5896

1437527165 — MELISSA DEANNE JOHNSON DPT
Practice Location Address:

2001 WINWARD WAY STE 101
SAN MATEO, CA
94404-2499

Practice Phone: 650-571-6800
Practice Fax:

1265806517 — MR. ZACHARY SANDY L.AC
Practice Location Address:

2001 WINWARD WAY STE 102
SAN MATEO, CA
94404-2499

Practice Phone: 650-924-2535
Practice Fax:

Directions to “ DR. THOMAS EDWARD BOOTH MD” 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.