Provider Demographics
NPI:1932281334
Name:GUERRERO, THOMAS M (MD, PHD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 COUNTRY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-9409
Mailing Address - Country:US
Mailing Address - Phone:832-496-1667
Mailing Address - Fax:530-691-5922
Practice Address - Street 1:2809 OLIVE HWY STE 110
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6132
Practice Address - Country:US
Practice Address - Phone:530-538-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL53502085R0001X
MI43011062752085R0001X
CAA667562085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152172601Medicaid
MI1932281334Medicaid
MI1932281334Medicaid
H66466Medicare UPIN