MR. RYAN TIMOTHY FREDRICKS CRNA
NPI 1962057034
Nurse Anesthetist, Certified Registered in Gilroy, CA
About Mr. Ryan Timothy Fredricks Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN TIMOTHY FREDRICKS CRNA (NPI 1962057034) is an individual nurse anesthetist, certified registered in Gilroy, California, licensed in California (95001662) and active in the NPI registry since August 2019. He is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Ryan Timothy Fredricks Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Fredricks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Oakland, CA 94612
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Camarillo, CA 93012
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Los Angeles, CA 90024
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ryan Fredricks's NPI number?
The NPI number for Ryan Fredricks is 1962057034. It was assigned to this individual provider in the NPPES registry on August 6, 2019.
Where is Ryan Fredricks located?
Ryan Fredricks practices at 9170 Jacaranda Way, Gilroy, CA 95020. The listed phone number is (408) 607-0263.
What is Ryan Fredricks's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ryan Fredricks enrolled in Medicare?
Yes. Ryan Fredricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ryan Fredricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Fredricks reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Santa Clara, CA), Amsurg Oakland Anesthesia LP (Oakland, CA), Apa Medical Group, Inc. (Camarillo, CA) and Apmc Medical Group Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Fredricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryan Fredricks was last updated on April 8, 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.
# Mr. Ryan Timothy Fredricks, CRNA · NPI 1962057034
Nurse Anesthetist, Certified Registered physician in Gilroy, California. Individual provider, active in the CMS NPPES registry since August 6, 2019.
## Identity
- **NPI:** 1962057034 (Entity type: Individual)
- **Enumerated:** August 6, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001662 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9170 JACARANDA WAY, Gilroy, CA 95020-7417
- **Phone:** (408) 607-0263
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA); Amsurg Oakland Anesthesia LP (NPI 1679847727, Oakland, CA); Apa Medical Group, Inc. (NPI 1700596111, Camarillo, CA); Apmc Medical Group Inc (NPI 1184592982, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962057034) · Data from the CMS NPPES public registry.