IndividualActive
Frederick Thom, MD
NPI 1376510529 · Family Medicine Physician · Pismo Beach, CA
Provider details
- NPI number
- 1376510529
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G61780 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
877 Oak Park Blvd.
Med Plus Medical Center
Pismo Beach, CA 93449
Phone: (805) 474-8450
Fax: (805) 474-8454
Street-level locationGet directions
Mailing address
5100 Caballeros Ave
San Luis Obispo, CA 93401-7908
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2008-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.