DR. FREDERICK W. THOM MD
NPI 1376510529
Family Medicine in Pismo Beach, CA

Active since March 07, 2006
877 OAK PARK BLVD., MED PLUS MEDICAL CENTER, PISMO BEACH, CA 93449(805) 474-8450(805) 474-8454 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frederick W. Thom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDERICK W. THOM MD (NPI 1376510529) is an individual family medicine provider in Pismo Beach, California, licensed in California (G61780) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1376510529
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FREDERICK W. THOMCredential: MD
Location Address877 OAK PARK BLVD., MED PLUS MEDICAL CENTERPismo Beach, CA 93449
Mailing Address5100 Caballeros AveSan Luis Obispo, CA 93401-7908 · (805) 549-7930
Fax(805) 474-8454
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 11, 2008
NPI 1376510529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G61780
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
877 OAK PARK BLVD., Pismo Beach, CA 93449

Other Identifiers 11

OtherP00347364Railroad Medicare Pin
Other235229Blue Cross Workers Comp P
Other240630Blue Cross Workers Comp S
Medicare ID-Type UnspecifiedWG61780EMedicare Ppin
Other0217529Washington State Dol Prov
Other240629Blue Cross Workers Comp K
OtherDF2146Railroad Medicare Group
Medicare UPINE24890CA
Other20-3730853Tin
OtherG61780License
Other5255526Ppni

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Thom's NPI number?

The NPI number for Frederick Thom is 1376510529. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Frederick Thom located?

Frederick Thom practices at 877 Oak Park Blvd. Med Plus Medical Center, Pismo Beach, CA 93449. The listed phone number is (805) 474-8450.

What is Frederick Thom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Frederick Thom was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.