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MARIO A FREGOSO
NPI 1063001725
Rehabilitation Practitioner in Los Angeles, CA

Active since January 15, 2021
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(310) 631-8004 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2025, May 19, 2025, Jan 15, 2021 (3 updates tracked since 2021).

About Mario A Fregoso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO A FREGOSO (NPI 1063001725) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1063001725
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMARIO A FREGOSO
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821
Phone(310) 631-8004
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1063001725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
3850 CRENSHAW BLVD, Los Angeles, CA 90008
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA GURTH
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
WENDY THALIA GARCIA
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
SPENCER LEE DAVIS JR.
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
NADEZHDA DAVIS
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
DANEANE WYNTERE BELL
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
MECHILLE PATRICE JOHNSON
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
KEITH LOPEZ JACKSON
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
ASHLEY NICOLE ANDERSON
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Fregoso's NPI number?

The NPI number for Mario Fregoso is 1063001725. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Mario Fregoso located?

Mario Fregoso practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (310) 631-8004.

What is Mario Fregoso's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Mario Fregoso was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.