Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134987290 Individual Practitioner Male Practitioner

Dr. Thomas J Renner , MD

General Practice • Mcb Camp Pendleton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Renner, MD is a registered healthcare professional specializing in General Practice in Mcb Camp Pendleton, CA. Practice services are available at 620305 8TH ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620305 8th St.

Mcb Camp Pendleton, CA 920550205

Telephone 7607250025
Associated Practice Facility / Clinic
🏢 Intrepid Spirit Center Facility NPI 1184187296

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mcb Camp Pendleton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Mcb Camp Pendleton, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101287049

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Practice Locations

34800 Bob Wilson Dr

San Diego, CA 921341098

Phone: 6195326400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Gregory Barisich , LCSW

Social Worker - Clinical

NPI 1063755593

Licensed Clinical Social Worker

Joseph Libretto

Military Health Care Provider - Independent Duty Corpsman

NPI 1437250354

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 15, 2025

Registered at 620305 8TH ST., MCB CAMP PENDLETON, CA 920550205 (Tel: 7607250025)

📍
Updated Business Mailing Address August 15, 2025

Registered at 200 MERCY CIR, CAMP PENDLETON, CA 92055

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Military Health Care Provider

👤
Provider Name / Credentials Updated April 16, 2024

Recorded as THOMAS RENNER, MD

NPI Profile Active March 12, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195326400)

📍
Updated Business Mailing Address March 12, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195326400)

👤
Provider Name / Credentials Updated March 12, 2024

Recorded as THOMAS RENNER, MD (EXPECTED MAY 18)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134987290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2024
Last Update: August 15, 2025
Sole Proprietor: No

Mailing Address

200 Mercy Cir

Camp Pendleton, CA 92055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.