IndividualActive
Theodore Thomas, M.D.
NPI 1669477113 · Nephrology Physician · San Diego, CA
Provider details
- NPI number
- 1669477113
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G61681 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
1 documented practice location
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
4060 4th Ave
Ste 220
San Diego, CA 92103-2120
Phone: (619) 299-2350
Fax: (619) 297-8379
Street-level locationGet directions
Mailing address
4225 Executive Sq Ste 450
La Jolla, CA 92037-8411
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.