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MR. FREDERICK GRUBSTAD II
NPI 1477039667
Nurse Practitioner - Psychiatric/Mental Health in Campo, CA

Active since July 11, 2018
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 478-5696(619) 478-2404 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Jul 11, 2018 (2 updates tracked since 2018).

About Mr. Frederick Grubstad Ii NPPES

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

MR. FREDERICK GRUBSTAD II (NPI 1477039667) is an individual psychiatric/mental health provider in Campo, California, licensed in California (95019498) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1477039667
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. FREDERICK GRUBSTAD II
Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022
Mailing Address14360 Rios Canyon Rd Spc 76El Cajon, CA 92021-2735 · (619) 249-3746
Phone(619) 478-5696
Fax(619) 478-2404
Sole ProprietorYes
Enumeration DateJuly 11, 2018
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1477039667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95019498
1777 BUCKMAN SPRINGS RD, Campo, CA 91906
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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.

OMAR HERNANDEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
JONATHAN SANDOVAL CCMA
Physician Assistant
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
MR. MARCO MARTINEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CORINNA D. BYNUM RN
Registered Nurse (Administrator)
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
TIM SHAPLIN RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
SAN DIEGO FREEDOM RANCH, INC.
Substance Abuse Rehabilitation Facility
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CARLOS ALBERTO RAMIREZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CHRISTOPHER DAVID SERNA CPSS
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696

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 Frederick Grubstad's NPI number?

The NPI number for Frederick Grubstad is 1477039667. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Frederick Grubstad located?

Frederick Grubstad practices at 1777 Buckman Springs Rd, Campo, CA 91906. The listed phone number is (619) 478-5696.

What is Frederick Grubstad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Frederick Grubstad was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.