| Dr Frederick W Thom, MD | |
|
877 Oak Park Blvd., Med Plus Medical Center, Pismo Beach, CA 93449 | |
| (805) 474-8450 | |
| (805) 474-8454 |
| Full Name | Dr Frederick W Thom |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 877 Oak Park Blvd., Pismo Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376510529 | NPI | - | NPPES |
| 240629 | Other | BLUE CROSS WORKERS COMP K | |
| DF2146 | Other | RAILROAD MEDICARE GROUP | |
| 5255526 | Other | PPNI | |
| 0217529 | Other | WASHINGTON STATE DOL PROV | |
| 240630 | Other | BLUE CROSS WORKERS COMP S | |
| G61780 | Other | LICENSE | |
| 235229 | Other | BLUE CROSS WORKERS COMP P | |
| P00347364 | Other | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G61780 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick W Thom, MD 5100 Caballeros Ave, San Luis Obispo, CA 93401-7908 Ph: (805) 549-7930 | Dr Frederick W Thom, MD 877 Oak Park Blvd., Med Plus Medical Center, Pismo Beach, CA 93449 Ph: (805) 474-8450 |
David Ruiz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Shauna Lynch, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 | |
Dr. Johannes A. Haar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Dewey Sandberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Dr. Karen Myrl Ramos Goodman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Michael R. Velarde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 |