Healthcare Provider Details

I. General information

NPI: 1750458873
Provider Name (Legal Business Name): FREDERICA S. LOFQUIST M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 CALIFORNIA ST 316
SAN FRANCISCO CA
94118-1522
US

IV. Provider business mailing address

3838 CALIFORNIA ST RM 316
SAN FRANCISCO CA
94118-1505
US

V. Phone/Fax

Practice location:
  • Phone: 415-379-9600
  • Fax: 415-379-9823
Mailing address:
  • Phone: 415-379-9600
  • Fax: 415-379-9823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberG65301
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD61485190
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberG65301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: