Individual provider Active NPI

Frederick William Adler, M.D.

  • Family Medicine Physician
  • San Mateo, CA
National Provider Identifier
1629030515
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G50673 Issued in CA
Practice address
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone
(650) 696-4427
NPI assigned
Apr 5, 2006
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G50673 CA Primary

Addresses

Primary practice location

100 S San Mateo Dr
San Mateo, CA 94401-3805

Mailing address

PO Box 276950
Sacramento, CA 95827-6950
Phone (650) 696-4427

Other practice location 1

2728 22nd St
San Francisco, CA 94110-3412
Phone (415) 216-9886

Other practice location 2

2728 22nd St
San Francisco, CA 94110-3412
Phone (415) 216-9886

Other identifiers 1

IdentifierTypeStateIssuer
00G506730MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040305000754 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 7416845003 Reassigns benefits to 3 organizations
I20170410002226 TX Practitioner - Family Practice 7416845003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Columbia University College of Physicians and Surgeons, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-5400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Big River Emergency Physicians Inc Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
University of California SFGH Medical Group CurrentSince Mar 1, 2020 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Sutter Bay Medical Foundation Emergency Medicine CurrentSince Aug 14, 2017 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 24, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 14, 2017 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 24, 2017 Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: fadler214371@hisp.ehr.sutterhealth.org
  • Direct secure messaging: fadler574598@direct.ochin.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1629030515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950",
            "telephone_number": "650-696-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2728 22nd St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103412",
            "country_code": "US",
            "telephone_number": "415-216-9886",
            "fax_number": "415-695-7953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2728 22nd St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103412",
            "country_code": "US",
            "telephone_number": "415-216-9886",
            "fax_number": "415-695-7953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLER",
        "first_name": "FREDERICK",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G50673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G506730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.