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RONALD S FREDERICK
NPI 1861211062
Nurse Practitioner - Family in Richmond, CA

Active since October 07, 2024
146 SHORELINE CT, RICHMOND, CA 94804(718) 207-2078 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ronald S Frederick NPPES

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

RONALD S FREDERICK (NPI 1861211062) is an individual family provider in Richmond, California, licensed in California (95040523) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1861211062
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRONALD S FREDERICK
Location Address146 SHORELINE CTRichmond, CA 94804-4589
Mailing Address146 Shoreline CtRichmond, CA 94804-4589 · (718) 207-2078
Phone(718) 207-2078
Sole ProprietorYes
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 6, 2024
✔ NPI 1861211062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95040523
146 SHORELINE CT, Richmond, CA 94804
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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 Ronald Frederick's NPI number?

The NPI number for Ronald Frederick is 1861211062. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Ronald Frederick located?

Ronald Frederick practices at 146 Shoreline Ct, Richmond, CA 94804. The listed phone number is (718) 207-2078.

What is Ronald Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ronald Frederick was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.