Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Fredericks, MD

Individual provider Surgery Physician · NPI 1952747628

Charles Fredericks, MD is a General Surgery in Sacramento, California. Graduated from Rutgers New Jersey Medical School in 2013, 13 years ago. Practices with San Joaquin Faculty Medical Group, a 129-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
13
Trained at
Rutgers New Jersey Medical School
Licensed in
CA, IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 734-5638
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1653 W Congress Pkwy, Chicago, IL 60612-3833 — (312) 942-6510

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A161492 (CA)
Surgery Physician Taxonomy 208600000X · Licence 125-063161 (IL)

Record details

NPI number1952747628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2013
Last updated in NPPESJune 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice San Joaquin Faculty Medical Group — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sacramento