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

Dr. Adam Randall Frederick, MD

Individual provider Family Medicine Physician · NPI 1184809949

Dr. Adam Randall Frederick, MD is a Family Medicine Physician in Glendale, California. Licensed in California and Utah. Registered with an NPI since 2007.

Licensed in
CA, UT
In the registry since
2007
Specialties on file
2
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

1808 Verdugo Blvd Ste 305
Glendale, CA 91208-1477
Phone: (818) 790-1103
Fax: (818) 949-4981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A109537 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 6825146-1205 (UT)

Record details

NPI number1184809949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2007
Last updated in NPPESMarch 27, 2013

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