Doctor profile · Federal record
Dr. Justin Fredericks, DO
General Practice Physician · San Diego, CA
- NPI 1487356176
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2841 Rendova RD
San Diego, CA 921555779
(727) 742-6825
Credentials & registration
- NPI registered
- March 2023 — 3 yrs on file
- Profile last updated
- November 25, 2024
- Specialty taxonomy
- 208D00000X — NUCC code
- State license (1)
- Indiana #02007896A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487356176. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$121
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen Inc. | 1 | $121.20 |
By nature of payment
Frequently asked questions
What is Dr. Justin Fredericks's medical specialty?
Dr. Justin Fredericks practices General Practice Physician in San Diego, CA.
Where does Dr. Justin Fredericks practice?
Dr. Justin Fredericks practices at 2841 Rendova RD, San Diego, CA 921555779. Office phone: 7277426825.
What is Dr. Justin Fredericks's NPI?
Dr. Justin Fredericks's National Provider Identifier (NPI) is 1487356176, issued by NPPES.