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Active NPI 1659468999 Individual Practitioner Female Practitioner

Dr. Gail June Fredericks , MD

General Practice • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Dr. Gail Fredericks, MD is a registered healthcare professional specializing in General Practice in Placerville, CA. Practice services are available at 121 DIANA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 Diana St

Placerville, CA 956673313

Telephone 5305592880
Fax 5306222979

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Placerville, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A61646

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A616460 (CA)
Commercial Insurance / Payer ID Clia Id No
05D0932276 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2009

Registered at 121 DIANA ST, PLACERVILLE, CA 956673313 (Tel: 5305592880)

📍
Updated Business Mailing Address July 28, 2009

Registered at 121 DIANA ST, PLACERVILLE, CA 956673313 (Tel: 5305592880)

👤
Provider Name / Credentials Updated July 28, 2009

Recorded as GAIL FREDERICKS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2009

General Practice (License #A61646 in CA)

🟢
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659468999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: March 07, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

121 Diana St

Placerville, CA 956673313

Phone: 5305592880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.