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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497448906

Matthew Ryan Frederickson, MD is a Student in an Organized Health Care Education/Training Program in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

4301 X St
Sacramento, CA 95817-2214
Phone: (916) 734-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1497448906
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

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