Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255532560 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Lee Brown , MD

Specialist • San Jacinto, 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. Thomas Brown has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2007
NPI Deactivation Date February 15, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Brown, MD was a registered Specialist practicing in San Jacinto, CA. Throughout an active medical career spanning 16 years, Dr. Brown provided care at the practice location at 1695 SOUTH SAN JACINTO AVE until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

1695 South San Jacinto Ave
Suite L

San Jacinto, CA 925835103

Telephone 9516548132
Fax 9516548135
Associated Practice Facility / Clinic
🏢 Ramona Family Medical Office Facility NPI 1932384617

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in San Jacinto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
1 Specialists

Practicing in San Jacinto, CA (6446 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G554810

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Martha Izvernari , NP

Nurse Practitioner - Family

NPI 1417176322

Nurse Practitioner

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 February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active January 14, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 14, 2015

Registered at 1695 SOUTH SAN JACINTO AVE, SUITE L, SAN JACINTO, CA 925835103 (Tel: 9516548132)

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Updated Business Mailing Address January 14, 2015

Registered at 1695 SOUTH SAN JACINTO AVE, SUITE L, SAN JACINTO, CA 925835103 (Tel: 9516548132)

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Provider Name / Credentials Updated January 14, 2015

Recorded as THOMAS BROWN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2015

Specialist (License #G554810 in CA)

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Initial NPI Registration & Enumeration May 31, 2007

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: 1255532560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: January 14, 2015
Deactivation Date: February 15, 2023

Mailing Address

1695 South San Jacinto Ave, Suite L

San Jacinto, CA 925835103

Phone: 9516548132

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.