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MARK J. FREDRICK MD, NPI 1518964998

Internal Medicine in HUNTINGTON BEACH, CA

Last Updated on : Oct 16,2012

MARK J. FREDRICK MD, NPI 1518964998

About MARK J. FREDRICK (NPI 1518964998)


MARK J. FREDRICK is an Internal Medicine provider in HUNTINGTON BEACH, United States. His medical specialization is Internal Medicine .

1518964998 is NPI number of MARK J. FREDRICK.

MARK J. FREDRICK's primary taxonomy code based on NPI Lookup is 207R00000X with license number G67380. This taxonomy code refers to Internal Medicine.

MARK J. FREDRICK has more than 16 years of experience.

MARK J. FREDRICK current practice location address is 19066 MAGNOLIA ST, HUNTINGTON BEACH, CA.

You can also correspond with MARK J. FREDRICK through mail at mailing address 19066 MAGNOLIA ST, HUNTINGTON BEACH, CA, United States. Mailing address contact number is 714-968-0068.

The enumeration date of MARK J. FREDRICK is 30-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 10 years ago.

1518964998 NPI Information

Basic NPI information of MARK J. FREDRICK (NPI 1518964998) is provided below.

Name MARK J. FREDRICK
National Provider Id (NPI) 1518964998
Entity Type Individual
Gender M
Credential MD
Practice Address 19066 MAGNOLIA ST,
HUNTINGTON BEACH, CA, United States
Practice Telephone
Practice Fax Number
Mailing Address 19066 MAGNOLIA ST ,
HUNTINGTON BEACH, CA, United States
Mailing Telephone 714-968-0068
Mailing Fax Number 714-378-2188
Enumeration Date 30-Jun-2005
Last Updated Date 16-Oct-2012

MARK J. FREDRICK (NPI 1518964998) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207R00000X Internal Medicine G67380 CA

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
00G673800 Other (non-Medicare) (01) CA MEDI CAL
F35224 MEDICARE UPIN (02) CA

MARK J. FREDRICK (NPI 1518964998) Office Location

Office location of MARK J. FREDRICK is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1417464231 PATRICIA MICHELLE RAMSEY Counselor, Mental Health 16761 VIEWPOINT LANE, APT 386
HUNTINGTON BEACH, CA, United States
02-Jan-2018
1063579670 THOMAS STEVEN ADAMICH Dentist, Periodontics 18821 DELAWARE ST, SUITE 201
HUNTINGTON BEACH, CA, United States
02-Jan-2007
1558428102 RAMIN LAVI Chiropractor 20331 COLONIAL CIR,
HUNTINGTON BEACH, CA, United States
02-Jan-2007
1629214242 AUSTIN W GARDINER Obstetrics & Gynecology 19355 MAIDSTONE LN,
HUNTINGTON BEACH, CA, United States
02-Jan-2009
1497092977 SHANNON OTAWKA Marriage & Family Therapist 18700 MAIN ST STE 202,
HUNTINGTON BEACH, CA, United States
03-Jan-2013
1396281770 SANDRA VERA Specialist/Technologist, Speech-Language Assistant 7541 KILGARRY AVE.,
PICO RIVERA, CA, United States
10-Jan-2017
1821505629 DAISY ZAMORA Behavior Technician 9916 CENTRAL AVE,
MONTCLAIR, CA, United States
03-Jan-2018
1508373135 ANA MARTIN Behavior Technician 5762 BOLSA AVE STE 101,
HUNTINGTON BEACH, CA, United States
04-Jan-2018
1679080303 OSVALDO ORTIZ Behavior Technician 5762 BOLSA AVE STE 101,
HUNTINGTON BEACH, CA, United States
03-Jan-2018
1134692015 JANELLE ARMIJO Behavior Technician 5762 BOLSA AVE STE 100,
HUNTINGTON BEACH, CA, United States
03-Jan-2019
1932672821 NATALIE ELAINE DRONE Nurse Practitioner 13828 CRONESE RD,
APPLE VALLEY, CA, United States
03-Jan-2019
1053468975 SCOTT HARDY Emergency Medicine, Medical Toxicology 16552 GRAHAM PL,
HUNTINGTON BEACH, CA, United States
04-Jan-2007
1982751814 GALAL SAMUEL GOUGH Family Medicine 8655 FRESNO CIR UNIT 502C,
HUNTINGTON BEACH, CA, United States
04-Jan-2007
1861549495 SUZANNE K NAKASHIOYA Pharmacist 17039 EDGEWATER LN,
HUNTINGTON BEACH, CA, United States
04-Jan-2007
1639355787 PARVIZ ALAI Dentist, Orthodontics and Dentofacial Orthopedics 17732 BEACH BLVD, #E
HUNTINGTON BEACH, CA, United States
18-Jan-2008
1518237122 YVETTE THUY DIROLL Pharmacist 19001 BROOKHURST ST.,
HUNTINGTON BEACH, CA, United States
12-Jan-2012
1669893962 DOUGLAS ALLEN Internal Medicine 6811 SCENIC BAY DR,
HUNTINGTON BEACH, CA, United States
04-Jan-2014
1154838746 MONIQUE ISKAROUS Dentist 7885 SOUTHWIND CIR,
HUNTINGTON BEACH, CA, United States
04-Jan-2018
1104333764 KEVIN GARNER Counselor, Addiction (Substance Use Disorder) 12141 DOWNEY AVE APT 3,
DOWNEY, CA, United States
04-Jan-2018
1194232751 WILLIAM KRAMP Counselor, Addiction (Substance Use Disorder) 727 OWEN DR # A-C,
HUNTINGTON BEACH, CA, United States
04-Jan-2018

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1518964998?

1518964998 is the NPI number of MARK J. FREDRICK.

What is the specialty for MARK J. FREDRICK?

The Specialty of MARK J. FREDRICK is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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