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

Thomas Peter McKenzie, MD

Individual provider Orthopaedic Surgery Physician · NPI 1083709638

Thomas Peter McKenzie, MD is an Orthopedic Surgery in Lodi, California. Graduated from Virginia Commonwealth University, School of Medicine in 1985, 41 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CA
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

924 S Fairmont Ave
Lodi, CA 95240-5119
Phone: (209) 334-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence G68077 (CA)

Record details

NPI number1083709638
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJune 11, 2019
Mailing address10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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