Individual provider Active NPI

Kristin I. Thom, DO

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1548200041
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19687 Issued in CA
Practice address
1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone
(831) 427-3500
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1704 ME
Family Medicine Physician 207Q00000X 19687 CA Primary
Family Medicine Physician 207Q00000X 05-40309 KS

Addresses

Primary practice location

1510 Capitola Rd
Santa Cruz, CA 95062-2912

Mailing address

2318 E Central Ave Ste 300
Wichita, KS 67214-4436
Phone (316) 262-2415

Other identifiers 1

IdentifierTypeStateIssuer
333070099MedicaidME

Other names 1

  • Dr. Kristin I.T. McDermott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029003728 CA Practitioner - Osteopathic Manipulative Medicine 5496728974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Cruz Community Health CentersGroup PAC ID 0840259107, 16 clinicians
Medxcare Health ProfessionalsGroup PAC ID 1658734645, 8 clinicians

Practice addresses (Care Compare)

1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone (831) 427-3500

317 Potrero St
Suite C
Santa Cruz, CA 95060-7611
Phone (831) 425-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1704MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medxcare Health Professionals CurrentSince Sep 1, 2025 Accepting new patients
Santa Cruz Core Fitness and Rehab PastSince Sep 1, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a. Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients
The Blue Hill Memorial Hospital Past Accepting new patients
The Blue Hill Memorial Hospital Past Accepting new patients

Locations

317 Potrero St
Ste C
Santa Cruz, CA 95060
Phone (831) 425-9500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1548200041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-262-2415",
            "fax_number": "316-264-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CAPITOLA RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622912",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOM",
        "first_name": "KRISTIN",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1704",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19687",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-40309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333070099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MCDERMOTT",
            "middle_name": "I.T.",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.