Thomas J. Renner, MD

General Practice Physician · MCB Camp Pendleton, CA

Individual Active NPI

NPI number 1134987290

Practice location

620305 8TH St.
MCB Camp Pendleton, CA 92055-0205
Phone
(760) 725-0025

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NPI record

NPI
1134987290
Entity type
Individual (Type 1)
Enumeration date
March 12, 2024
Last updated
August 15, 2025
Certified
August 13, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 0101287049 VA
Military Health Care Provider 171000000X — —

Mailing address

200 Mercy Cir
Camp Pendleton, CA 92055

Other practice locations (1)

  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 · (619) 532-6400

About Dr. Renner

Thomas J. Renner, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 620305 8TH St., MCB Camp Pendleton, CA 92055-0205. The NPI number 1134987290 was assigned on March 12, 2024 and the record was last updated on August 15, 2025.

Dr. Renner lists a license in the registry: #0101287049 (VA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas J. Renner, MD?

The NPI number is 1134987290.

What is the phone number of Dr. Renner?

The phone number listed for the practice location is (760) 725-0025.

Where is Dr. Renner located?

620305 8TH St., MCB Camp Pendleton, CA 92055-0205.

What is the taxonomy code for Dr. Renner?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.