DR. THEODORE S. THOMAS M.D.
NPI 1669477113
Internal Medicine - Nephrology in San Diego, CA

Active since June 20, 2005
4060 4TH AVE, STE 220, SAN DIEGO, CA 92103(619) 299-2350(619) 297-8379 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theodore S. Thomas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE S. THOMAS M.D. (NPI 1669477113) is an individual nephrology provider in San Diego, California, licensed in California (G61681) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1669477113
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. THEODORE S. THOMASCredential: M.D.
Location Address4060 4TH AVE, STE 220San Diego, CA 92103-2120
Mailing Address4225 Executive Sq Ste 450La Jolla, CA 92037-8411 · (858) 810-0000 · Fax (858) 268-1911
Fax(619) 297-8379
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1669477113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · G61681
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4060 4TH AVE, San Diego, CA 92103

Other Identifiers 1

Medicaid00G616810CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
Physician Assistant
4060 4TH AVE, 7TH FLOOR
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE
SAN DIEGO, CA 92103
Internal Medicine (Gastroenterology)
4060 4TH AVE, #240
SAN DIEGO, CA 92103
Clinic/Center (Multi-Specialty)
4060 4TH AVE, 508
SAN DIEGO, CA 92103
Urology
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
Specialist/Technologist (Athletic Trainer)
4060 4TH AVE, SUITE 105
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Thomas's NPI number?

The NPI number for Theodore Thomas is 1669477113. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Theodore Thomas located?

Theodore Thomas practices at 4060 4th Ave Ste 220, San Diego, CA 92103. The listed phone number is (619) 299-2350.

What is Theodore Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Theodore Thomas was last updated on February 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.