Active NPI
Kristin I. Thom, DO
- Family Medicine Physician
- Santa Cruz, CA
National Provider Identifier
1548200041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19687
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333070099 | Medicaid | ME |
Other names 1
- Dr. Kristin I.T. McDermott
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medxcare Health Professionals | Current | Accepting new patients | |
| Santa Cruz Core Fitness and Rehab | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Santa Cruz, CA
- NPI 1982177150
-
- Clinic/Center
- Santa Cruz, CA
- NPI 1952749541
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Santa Cruz, CA
- NPI 1942585153
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023272853
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
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- The Well Mission Family Counseling Center PC
- Dorothee Sarah Theismann, MA
- Camille Juletta Dorthea Thienngern Bauerlein
- Amanda Thomas
- Angela Thomas
- Brynn Thomas
- Daniel Thomas
- Diana Thomas, REGISTERED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.