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

Individual provider Physician Assistant · NPI 1750166971

Julia Frederick, PA-C is a Physician Assistant in Newport Beach, California. Qualified in 2024, 2 years ago. Practices with Southern California Kidney Associates Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
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

1501 Superior Ave Ste 205
Newport Beach, CA 92663-3640
Phone: (949) 642-4974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64054 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1750166971
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southern California Kidney Associates Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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