Dermatology
Dr. KIM FREDERICKSON MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003995291 · enumerated 2006-11-06 · record updated 2008-10-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 400 PROFESSIONAL CENTER DRIVE, SUITE 414, NOVATO, CA, 94947 (415) 892-0754 Fax (415) 897-3204 Google Maps Apple Maps OpenStreetMap
- Practice location 400 PROFESSIONAL CENTER DRIVE, SUITE 414 NOVATO DERMATOLOGY ASSOCIATES, NOVATO, CA, 94947 (415) 892-0754 Fax (415) 897-3204 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License G79619 CA
In this directory
Locations and evidence
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Practice location
NOVATO, CA, 94947
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.