Justin Fredericks, DO
NPI 1487356176 · General Practice Physician · San Diego, CA
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Fredericks, DO is a General Practice Physician provider in San Diego, CA (NPI 1487356176).
Provider details
- NPI number
- 1487356176
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02007896A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$121 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-20
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Frequently asked questions
- What is Justin Fredericks's NPI number?
- Justin Fredericks's National Provider Identifier (NPI) is 1487356176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Fredericks's specialty?
- Justin Fredericks is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Fredericks located?
- Justin Fredericks's practice location on file with NPPES is 2841 Rendova Rd, San Diego, CA 92155-5779.
- What is Justin Fredericks's phone number?
- The practice phone number listed in the NPPES registry for Justin Fredericks is (727) 742-6825.
- Does Justin Fredericks accept Medicare?
- Justin Fredericks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Fredericks's NPI active?
- Yes — Justin Fredericks's NPI (1487356176) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.