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Deactivated NPI 1124275060 Deactivated / Inactive NPI Male Practitioner

Dr. Otis Victor Thomas , MD

General Practice • Sacramento, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Otis Thomas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2008
NPI Deactivation Date July 29, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Otis Thomas, MD was a registered General Practice practicing in Sacramento, CA. Throughout an active medical career spanning 12 years, Dr. Thomas provided care at the practice location at 2501 MABRY DR until profile deactivation on 2020-07-29.

Practice Location & Contact Primary Location

Practice Address

2501 Mabry Dr

Sacramento, CA 958351501

Telephone 8315949569

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Sacramento, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.9 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
41 Specialists

Practicing in Sacramento, CA (2300 Statewide)

Telehealth Adoption Rate
4.9% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C37206

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

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 29, 2020

Record deactivated on July 29, 2020

NPI Profile Active August 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 22, 2008

Registered at 2501 MABRY DR, SACRAMENTO, CA 958351501 (Tel: 8315949569)

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Updated Business Mailing Address August 22, 2008

Registered at PO BOX 51681, PACIFIC GROVE, CA 939506681 (Tel: 8315949569)

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Provider Name / Credentials Updated August 22, 2008

Recorded as OTIS THOMAS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2008

General Practice (License #C37206 in CA)

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Initial NPI Registration & Enumeration August 22, 2008

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: 1124275060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2008
Last Update: August 22, 2008
Deactivation Date: July 29, 2020

Mailing Address

Po Box 51681

Pacific Grove, CA 939506681

Phone: 8315949569

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

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