Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas E Conklin, MD

Individual provider Adult Medicine Physician · NPI 1124066436

Thomas E Conklin, MD is a Family Practice in Northridge, California. Graduated from University of Southern California Keck School of Medicine in 1978, 48 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
48
Trained at
University of Southern California Keck School of Medicine
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18417 Nordhoff St Suite# B
Northridge, CA 91325-2200
Phone: (818) 701-0551
Fax: (818) 701-5360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 156153 (MA)

Record details

NPI number1124066436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2006
Last updated in NPPESFebruary 11, 2015
Mailing address2650 Santa Ynez Ave, Simi Valley, CA 93063-2387

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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