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

Mr. Frederick Grubstad II

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477039667

Mr. Frederick Grubstad II is a Psychiatric/Mental Health Nurse Practitioner in Campo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95019498 (CA)

Record details

NPI number1477039667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022