Individual provider Active NPI

Fred Rhode Stoddard, M. D.

  • Psychiatry Physician
  • Vallejo, CA
National Provider Identifier
1356397186
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10-00001679 Issued in CA
Practice address
532 Oregon St
Vallejo, CA 94590-3254
Phone
(707) 649-4007
Fax
(707) 649-4077
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G35967 CA
Psychiatry Physician 2084P0800X 10-00001679 CA Primary

Addresses

Primary practice location

532 Oregon St
Vallejo, CA 94590-3254

Mailing address

7250 Auburn Blvd # 120
Citrus Heights, CA 95610-3850
Phone (916) 572-7755

Other practice location 1

1605 Jefferson St
Oakland, CA 94612-1215
Phone (510) 923-1099

Other practice location 2

115 Oddstad Dr
Vallejo, CA 94589-2520
Phone (707) 552-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000795 CA Practitioner - Psychiatry 1355508862 Reassigns benefits to 1 organization
Practice locations: Vallejo, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G35967CAMDSpecialist
10-00001679CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients

Locations

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

10 Woodland Rd
Ste 502
Saint Helena, CA 94574
Phone (707) 963-1882

525 Oregon St
Vallejo, CA 94590
Phone (707) 301-1657

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1356397186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 AUBURN BLVD # 120",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103850",
            "telephone_number": "916-572-7755",
            "fax_number": "916-200-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 OREGON ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903254",
            "telephone_number": "707-649-4007",
            "fax_number": "707-649-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121215",
            "country_code": "US",
            "telephone_number": "510-923-1099",
            "fax_number": "510-350-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Oddstad Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892520",
            "country_code": "US",
            "telephone_number": "707-552-0215",
            "fax_number": "707-553-1424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "FRED",
        "middle_name": "RHODE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G35967",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "10-00001679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.