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

Matthew John Frydendall

Individual provider Physician Assistant · NPI 1396317517

Matthew John Frydendall is a Physician Assistant in Redlands, California. Qualified in 2021, 5 years ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone: (909) 557-1650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1396317517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address1544 Timberline, Beaumont, CA 92223-3438

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Redlands