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

Dr. Kim S Frederickson, MD

Individual provider Dermatology Physician · NPI 1003995291

Dr. Kim S Frederickson, MD is a Dermatology in Novato, California. Graduated from University of California, Davis School of Medicine in 1993, 33 years ago. Practices with Novato Dermatology Associates a Medical Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
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

400 Professional Center Dr Ste 414 Novato Dermatology Associates
Novato, CA 94947
Phone: (415) 892-0754
Fax: (415) 897-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G79619 (CA)

Record details

NPI number1003995291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESOctober 10, 2008

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Novato Dermatology Associates A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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