Jason Mark Frederick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15371 Issued in TX

Practice address

3921 Fabian Way
Palo Alto, CA 94303-4640

Phone

(650) 434-2466

NPI assigned

Dec 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Aqua Project LLC

  • Chiropractor
  • West Lake Hills, TX
  • NPI 1417499989
  NPD
• Arete Networks of Texas LLC

  • Sports Physician Chiropractor
  • Katy, TX
  • NPI 1144030560
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1386355386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 SYDNEY DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873263",
            "telephone_number": "303-981-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 FABIAN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034640",
            "telephone_number": "650-434-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JASON",
        "middle_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Frayne, MD, MPH
• Elizabeth Blaine Fraze, MD
• Jonathan Noel Frecceri, M.A., LMFT
• Allison Freccero
• Elise Freche, MS, RD
• Virginia Lee Frederick, M.S.W.
• Michael Fredericson, MD
• Michael Scott Freedman, MD
• Alex Lauren Freeman, NP
• Larry Allan Freeman, M.D.

• Chiropractor in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.