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

Thomas Pickett

Individual provider Physician Assistant · NPI 1407494818

Thomas Pickett is a Physician Assistant in Clearlake, California. Qualified in 2019, 7 years ago. Practices with Lake County Tribal Health Consortium Inc, a 42-clinician group and works from 3 locations.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

14440 Olympic Dr
Clearlake, CA 95422-8809
Phone: (707) 533-8760
Fax: (707) 461-5103
Show map & directions

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

Additional practice locations (2)

  • 15230 Lakeshore Dr, Clearlake, CA 95422-8107 — (707) 995-4500
  • 925 Bevins Ct, Lakeport, CA 95453-9754 — (707) 263-8382

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407494818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address2244 Old Stagecoach Trl, Alpine, CA 91901-1470

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lake County Tribal Health Consortium Inc — 42 clinicians
Accepts Medicare assignment Not indicated

Other providers in Clearlake