DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1942364328

NPI Code Detail

MEDICARE: DR. THOMAS M FITZGERALD MD

MEDICARE: DR. THOMAS M FITZGERALD 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	93-00112	NC
2	2084P0802X	Addiction Psychiatry Physician	A48795	CA
3	2084P0802X	Addiction Psychiatry Physician	93-00112	NC
4	2084P0800X	Psychiatry Physician	A48795	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	562277677	OTHER	NC	CIGNA
2	562277677	OTHER	NC	BCBS OF NC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	B3348	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1942364328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS M FITZGERALD MD

Provider Business Mailing Address
First Line	:	3830 VALLEY CENTRE DR # 705649
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-3320
Country	:	US
Telephone Number	:	704-894-9309
Fax Number	:	704-894-9304

Provider Business Practice Location Address
First Line	:	1601 PRECISION PARK LN
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92173-1345
Country	:	US
Telephone Number	:	619-662-4100
Fax Number	:

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	08/01/2025

Similar Medicare Providers

1730117979 — DR. MONICA MARIA MCMILLAN M.D.
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax: 619-481-2572

1114041621 — MS. SHERILYN ROSENBLATT PA-C
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

1629225925 — NAM-PHONG HUNG LE ASW, MSW
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-717-7449
Practice Fax:

1649546979 — KATHERINE RAE PENNINGA
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

1679834022 — CHRISTINE ELIZABETH JAMES DO
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

1316310840 — ASMA ALGHAMDI
Practice Location Address:

1601 PRECISION PARK LN
SAN DIEGO, CA
92173-1345

Practice Phone: 619-662-4100
Practice Fax:

Directions to “ DR. THOMAS M FITZGERALD 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.