IndividualActive
Thomas Polidore, MD
NPI 1366424095 · Surgery Physician · Roseville, CA
Provider details
- NPI number
- 1366424095
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G83054 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Medical Plaza Dr Ste 130
Roseville, CA 95661-3088
Phone: (916) 773-8750
Fax: (916) 797-4774
Approximate (ZIP-level) locationGet directions
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Additional practice locations (1)
- 1225 Marshall St#24Crescent City, CA 95531-2281Phone: (707) 465-0884Fax: (707) 465-8356
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2018-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.