GAIL JUNE FREDERICKS MD
NPI 1659468999
General Practice in Placerville, CA

Active since October 06, 2006
121 DIANA ST, PLACERVILLE, CA 95667(530) 559-2880(530) 622-2979 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gail June Fredericks Md NPPES

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

GAIL JUNE FREDERICKS MD (NPI 1659468999) is an individual general practice provider in Placerville, California, licensed in California (A61646) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1659468999
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGAIL JUNE FREDERICKSCredential: MD
Location Address121 DIANA STPlacerville, CA 95667-3313
Mailing Address121 Diana StPlacerville, CA 95667-3313 · (530) 559-2880 · Fax (530) 622-2979
Fax(530) 622-2979
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1659468999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A61646
Definition
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
121 DIANA ST, Placerville, CA 95667

Other Names 1

Former Name (1)Gail June Russell Md

Other Identifiers 2

Medicaid00A616460CA
Other05D0932276CA · Clia Id No

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 Gail Fredericks's NPI number?

The NPI number for Gail Fredericks is 1659468999. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Gail June Russell MD.

Where is Gail Fredericks located?

Gail Fredericks practices at 121 Diana St, Placerville, CA 95667. The listed phone number is (530) 559-2880.

What is Gail Fredericks's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gail Fredericks was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.