MR. MICHAEL CHARLES FREDERICK (NPI# 1730210402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730210402 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CHARLES FREDERICK |
| Credential | RN |
| Practice Address |
2151 College Ave Bakersfield CA 93305-4172 |
| Mailing Address |
Po Box 1000 Bakersfield CA 93302-1000 |
| Practice Telephone | 6618688123 |
| Practice Fax Number | 6618688188 |
| Mailing Telephone | 6618686100 |
| Mailing Fax Number | 6618686666 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
376768 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1336465855 | Michael Frederick | Plastic Surgery | 101 N Clematis St, West Palm Beach, FL 33401-5554 | 2010-04-08 |
| 1972839678 | Michael G Frederick Sr. | Social Worker | 1581 Carol Sue Ave, Suite212, Terrytown, LA 70056-5100 | 2009-10-30 |
| 1164537700 | Michael D Frederick | Pharmacist | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2006-08-21 |
| Street Address |
2151 COLLEGE AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93305-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679642821 | Cynthia Scott | Psychologist | 2151 College Ave, Bakersfield, CA 93305-4172 | 2006-11-06 |
| 1851907737 | Matthew Tristan Oliver | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-09-16 |
| 1235744392 | Lanni Laura Ortega | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-09-14 |
| 1831710359 | Lisa Ann Henderson | Counselor | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-05-06 |
| 1295354835 | Savanna Brooke Lara | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-04-14 |
| 1598391880 | Carmen Alegria | Social Worker | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-03-18 |
| 1801436464 | Juan Francisco Garcia | Marriage & Family Therapist | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-01-12 |
| 1265071377 | Arlene F Velis | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-01-06 |
| 1215575626 | Vanessa Barrales | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4113 | 2019-12-16 |
| 1033756051 | Robert Lira | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4113 | 2019-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1003434440 | Centennial Hospice and Palliative Care Inc. | Hospice Care, Community Based | 3016 Union Ave, Ste. C, Bakersfield, CA 93305 | 2020-07-13 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1235772054 | Universal Healthcare Services, Inc. | Specialist | 2123 Niles St, Bakersfield, CA 93305 | 2019-10-24 |
| 1447741632 | Kern County Probation Department | Military Health Care Provider | 2005 Ridge Road, Bakersfield, CA 93305 | 2018-05-23 |
| 1164871091 | Luis Gomez | Case Manager/Care Coordinator | 1415 Truxtun Avenue, Bakersfield, CA 93305 | 2016-06-10 |
| 1659747327 | Orchid Home Health Inc. | Home Health | 3016 Union Avenue, Bakersfield, CA 93305 | 2015-08-18 |
| 1407260540 | Tracy Corbett | Counselor | 1932 Jessie Street, Bakersfield, CA 93305 | 2014-06-17 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1124371935 | Bethany Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1600 E Truxtun Ave., Bakersfield, CA 93305 | 2012-10-17 |
| Find all providers in zip 93305 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708955 | Shelli Anne Smith | Registered Nurse | 1600 E Belle Ter, Bakersfield, CA 93307-3871 | 2019-03-04 |
| 1851588875 | Faith Ibrahim | Registered Nurse | 5121 Stockdale Hwy, Bakersfield, CA 93309-2656 | 2007-10-03 |
| 1194844373 | Dale Edward Siemens | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-03-28 |
| 1750406617 | Lynda Evetted Gridley | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-03-20 |
| 1053445684 | Cassie Walker | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-03-15 |
| 1902930670 | Merlin Arino Mcclung | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-03-15 |
| 1588795223 | Kathleen Houseman | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-03-07 |
| 1437286978 | Carolyn Margaret Anderson | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.