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

Kristina Frederick, PHYSICIANASST

Individual provider Physician Assistant · NPI 1447311170

Kristina Frederick, PHYSICIANASST is a Physician Assistant in Encinitas, California. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006

Practice location Address checks out

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone: (760) 230-2251
Fax: (760) 230-2253
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14114 (CA)

Record details

NPI number1447311170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASST
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESJanuary 21, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Encinitas