What is Ford Frederick's NPI number?

Ford Frederick's National Provider Identifier (NPI) is 1053080770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ford Frederick's specialty?

Ford Frederick is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Ford Frederick located?

Ford Frederick's practice location on file with NPPES is 3400 Montgomery Dr, Santa Rosa, CA 95405-5142.

What is Ford Frederick's phone number?

The practice phone number listed in the NPPES registry for Ford Frederick is (415) 861-0828.

Is Ford Frederick's NPI active?

Yes — Ford Frederick's NPI (1053080770) is active in the NPPES registry as of the last update on 2021-09-07.

IndividualActive

Ford Frederick

NPI 1053080770 · Community Health Worker · Santa Rosa, CA

Ford Frederick is a Community Health Worker provider in Santa Rosa, CA (NPI 1053080770).

Provider details

NPI number: 1053080770
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3400 Montgomery Dr

Santa Rosa, CA 95405-5142

Phone: (415) 861-0828

Street-level locationGet directions

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Mailing address