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

Tom Maxim

Individual provider Otolaryngology Physician · NPI 1801356464

Tom Maxim is an Otolaryngology in Thousand Oaks, California. Graduated from University of Southern California Keck School of Medicine in 2019, 7 years ago. Practices with The Regents of the University of California, a 31-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2019

Practice location Address checks out

100 Moody Ct Ste 200
Thousand Oaks, CA 91360-6082
Phone: (805) 418-3500
Show map & directions

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

Additional practice locations (1)

  • Ronald Reagan Ucla 757 Westwood Plaza, Los Angeles, CA 90095-0001 — (310) 825-6643

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A181999 (CA)

Record details

NPI number1801356464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Regents Of The University Of California — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Thousand Oaks