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FREDRICK NATHANIEL WOLK M.D.
NPI 1669426078
Specialist in Redondo Beach, CA

Active since May 20, 2006PECOS Enrolled
606 ESPLANADE APT 5, REDONDO BEACH, CA 90277(310) 897-1613 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 19, 2022, Jul 8, 2020, May 21, 2019 (3 updates tracked since 2019).

About Fredrick Nathaniel Wolk M.d. NPPES

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

FREDRICK NATHANIEL WOLK M.D. (NPI 1669426078) is an individual specialist in Redondo Beach, California, licensed in California (C38222) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669426078
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameFREDRICK NATHANIEL WOLKCredential: M.D.
Location Address606 ESPLANADE APT 5Redondo Beach, CA 90277-4169
Mailing Address606 Esplanade Apt 5Redondo Beach, CA 90277-4169 · (310) 897-1613
Phone(310) 897-1613
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1669426078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · C38222
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
606 ESPLANADE APT 5, Redondo Beach, CA 90277
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Other Identifiers 1

Medicaid00C382220CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredrick Nathaniel Wolk M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Fredrick Wolk's NPI number?

The NPI number for Fredrick Wolk is 1669426078. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Fredrick Wolk located?

Fredrick Wolk practices at 606 Esplanade Apt 5, Redondo Beach, CA 90277. The listed phone number is (310) 897-1613.

What is Fredrick Wolk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Fredrick Wolk enrolled in Medicare?

Yes. Fredrick Wolk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fredrick Wolk was last updated on January 19, 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.