JUSTIN FREDERICKS DO
NPI 1487356176
General Practice in San Diego, CA
About Justin Fredericks Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN FREDERICKS DO (NPI 1487356176) is an individual general practice provider in San Diego, California, licensed in Indiana (02007896A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Fredericks Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justin Fredericks's NPI number?
The NPI number for Justin Fredericks is 1487356176. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Justin Fredericks located?
Justin Fredericks practices at 2841 Rendova Rd, San Diego, CA 92155. The listed phone number is (727) 742-6825.
What is Justin Fredericks's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Justin Fredericks enrolled in Medicare?
Yes. Justin Fredericks is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Fredericks was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
