DANAE FREDERICO PA-C
NPI 1417408865
Physician Assistant in Santa Monica, CA

Active since October 20, 2016PECOS EnrolledAccepts Medicare Assignment
2001 SANTA MONICA BLVD STE 680W, SANTA MONICA, CA 90404(310) 829-8928 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Jan 15, 2021, Oct 20, 2016 (3 updates tracked since 2016).

About Danae Frederico Pa-c NPPES

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

DANAE FREDERICO PA-C (NPI 1417408865) is an individual physician assistant in Santa Monica, California, licensed in California (58585) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417408865
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANAE FREDERICOCredential: PA-C
Location Address2001 SANTA MONICA BLVD STE 680WSanta Monica, CA 90404-2111
Mailing Address2001 Santa Monica Blvd Ste 680wSanta Monica, CA 90404-2111 · (310) 829-8928
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 20, 2016
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1417408865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 58585
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedDental HygienistTaxonomy 124Q00000X · License 26279 (CA)
2001 SANTA MONICA BLVD STE 680W, Santa Monica, CA 90404

Other Names 1

Former Name (1)Danae Davis Rdh

Secondary Practice Location 1

Location 115211 Vanowen St Ste 200Van Nuys, CA 91405-3606 · Phone (818) 782-4232

Other Identifiers 1

Other26279CA · Dental Hygiene Committee Of California

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Danae Frederico Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395180392
PECOS Enrollment IDI20240229002311
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404
Physician Assistant (Surgical)
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404
Surgery
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404
Physician Assistant
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 90404

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 Danae Frederico's NPI number?

The NPI number for Danae Frederico is 1417408865. It was assigned to this individual provider in the NPPES registry on October 20, 2016. The provider is also known as Danae Davis Rdh.

Where is Danae Frederico located?

Danae Frederico practices at 2001 Santa Monica Blvd Ste 680W, Santa Monica, CA 90404. The listed phone number is (310) 829-8928.

What is Danae Frederico's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danae Frederico enrolled in Medicare?

Yes. Danae Frederico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Danae Frederico was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.