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

Thomas James Colivas, PA

Individual provider Physician Assistant · NPI 1598966079

Thomas James Colivas, PA is a Physician Assistant in San Fernando, California. Qualified in 1982, 44 years ago. Practices with Shingletown Medical Center, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

211 S Maclay Ave
San Fernando, CA 91340-3603
Phone: (818) 700-1250
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA113333 (CA)

Record details

NPI number1598966079
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESMarch 7, 2023
Mailing address1556 Prima Ct, Camarillo, CA 93010-3147

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Shingletown Medical Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Fernando