Active NPI
Frederick D Williams, M.D.
- Ophthalmology Physician
- Rancho Palos Verdes, CA
National Provider Identifier
1194797258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G41755
- Practice address
- 6722 Abbottswood Dr
Rancho Palos Verdes, CA 90275-3018 - Phone
- (310) 422-9458
- Fax
- (310) 541-8891
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G41755 | CA | |
| Ophthalmology Physician | 207W00000X | G41755 | CA | Primary |
Addresses
Primary practice location
6722 Abbottswood Dr
Rancho Palos Verdes, CA 90275-3018
Mailing address
1506 Centinela Ave
Inglewood, CA 90302-1144
Phone (310) 419-5075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G417550 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41755 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick D. Williams, M.D., Inc. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Inglewood, CA
- NPI 1841592227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1194797258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 CENTINELA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903021144",
"telephone_number": "310-419-5075",
"fax_number": "310-419-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6722 ABBOTTSWOOD DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902753018",
"telephone_number": "310-422-9458",
"fax_number": "310-541-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "FREDERICK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G41755",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G41755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G417550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.