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

Dr. Frederick L Johnson, MD

Individual provider Anesthesiology Physician · NPI 1104983360

Dr. Frederick L Johnson, MD is an Anesthesiology in Lakeport, California. Qualified in 1989, 37 years ago. Practices with Core Anesthesia Services PC, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

987 Parallel Dr
Lakeport, CA 95453-5702
Phone: (707) 263-7428
Fax: (707) 263-7425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A556180 (CA)

Record details

NPI number1104983360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESMay 20, 2019
Mailing address987 Parallel Dr, Lakeport, CA 95453-5702

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Core Anesthesia Services Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakeport