DR. FREDERICK WILLIAM DIETERICH (M.D.) – Obstetrics & Gynecology Physician, NPI 1720183650

DR. FREDERICK WILLIAM DIETERICH (M.D.) is a healthcare provider. based in Yorba linda, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. GO41537 (CA). The NPI Number for DR. FREDERICK WILLIAM DIETERICH (M.D.) is 1720183650

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK WILLIAM DIETERICH (M.D.)
NPI
1720183650
Phone
(714) 996-3700
Address
16671 Yorba Linda Blvd Ste 200
Enumeration Date
14 September 2006
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
5799706719
Group Practice PAC ID
0042120156
Professional Enrollment ID
I20051216000755
Address ID
CA920845218Vi1000XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for DR. FREDERICK WILLIAM DIETERICH (M.D.)

  • 16671 Yorba Linda Blvd Ste 200

    Yorba Linda, CA 92886

    Phone: (714) 996-3700

    Fax: (714) 993-5897

    Type: Location

  • 16671 YORBA LINDA BLVD STE 200

    YORBA LINDA, CA 92886

    Phone: (714) 996-3700

    Fax: (714) 993-5897

    Type: Location

  • 1000 VALLE TERRACE

    VISTA, CA 92064

    Phone: (760) 631-5000

    Fax: (760) 414-3892

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $902.

Total Amount is formed as General ($902) + Research ($0) + Ownership ($0) = $902.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($250).

Total Amount

$902

General + Research + Ownership

Payments

27

Total payment records

General Amount

$902

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051216000755IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9051$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3838$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2323$0
99214Established patient office or other outpatient visit, 30-39 minutes1714$0
81002Urinalysis, manual test1211$0
View full utilization report →

Insurance plans in this area (ZIP 92886)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042120156View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCA
O P T O M E T R YCA
Clinical Social WorkerCA
Clinical PsychologistCA
Family PracticeCA
P S Y C H I A T R YIN
Cardiovascular Disease (Cardiology), Internal Medicine, Internal MedicineCA
Gynecological OncologyCA
C H I R O P R A C T I CCA
Family PracticeMI

Reviews

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Frequently asked questions

Where can patients find DR. FREDERICK WILLIAM DIETERICH (M.D.)'s NPI?
You can confirm DR. FREDERICK WILLIAM DIETERICH (M.D.) with NPI 1720183650; it appears in the national provider directory.
Is DR. FREDERICK WILLIAM DIETERICH (M.D.) currently active in the NPI registry?
CMS-published data lists DR. FREDERICK WILLIAM DIETERICH (M.D.) as an active registrant.
What does DR. FREDERICK WILLIAM DIETERICH (M.D.) treat or focus on?
Patients typically see DR. FREDERICK WILLIAM DIETERICH (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. FREDERICK WILLIAM DIETERICH (M.D.)?
We surface Yorba Linda, California for DR. FREDERICK WILLIAM DIETERICH (M.D.) based on available NPPES addresses.
How can I contact DR. FREDERICK WILLIAM DIETERICH (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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