FORD FREDERICK
NPI 1053080770
Community Health Worker in Santa Rosa, CA

Active since September 07, 2021
3400 MONTGOMERY DR, SANTA ROSA, CA 95405(415) 861-0828 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ford Frederick NPPES

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

FORD FREDERICK (NPI 1053080770) is an individual community health worker in Santa Rosa, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1053080770
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameFORD FREDERICK
Location Address3400 MONTGOMERY DRSanta Rosa, CA 95405-5142
Mailing Address3400 Montgomery DrSanta Rosa, CA 95405-5142 · (415) 861-0828
Sole ProprietorNo
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
NPI 1053080770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
3400 MONTGOMERY DR, Santa Rosa, CA 95405

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Community Health Worker
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Community Health Worker
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Rehabilitation Practitioner
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Community Health Worker
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Community Health Worker
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Day Training/Habilitation Specialist
3400 MONTGOMERY DR
SANTA ROSA, CA 95405
Counselor (Mental Health)
3400 MONTGOMERY DR
SANTA ROSA, CA 95405

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 Ford Frederick's NPI number?

The NPI number for Ford Frederick is 1053080770. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Ford Frederick located?

Ford Frederick practices at 3400 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (415) 861-0828.

What is Ford Frederick's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Ford Frederick was last updated on September 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.