Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Danae Frederico, PA-C

Individual provider Dental Hygienist · NPI 1417408865

Danae Frederico, PA-C is a Physician Assistant in Santa Monica, California. Qualified in 2020, 6 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2001 Santa Monica Blvd Ste 680W
Santa Monica, CA 90404-2111
Phone: (310) 829-8928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15211 Vanowen St Ste 200, Van Nuys, CA 91405-3606 — (818) 782-4232

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58585 (CA)
Dental Hygienist Taxonomy 124Q00000X · Licence 26279 (CA)

Record details

NPI number1417408865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Santa Monica