FREDERICK BOARD
NPI 1316229495
Case Manager/Care Coordinator in San Bernardino, CA

Q: What is Frederick Board's NPI number?

The NPI number for Frederick Board is 1316229495. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Q: What is Frederick Board's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Frederick Board was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 14, 2011

2080 S E ST, SAN BERNARDINO, CA 92408(909) 388-9191(909) 388-9195 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Frederick Board NPPES

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

FREDERICK BOARD (NPI 1316229495) is an individual case manager/care coordinator provider in San Bernardino, California and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1316229495

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameFREDERICK BOARD

Location Address2080 S E STSan Bernardino, CA 92408

Mailing Address2080 S E StSan Bernardino, CA 92408-2773 · (909) 388-9191 · Fax (909) 388-9195

Phone(909) 388-9191

Fax(909) 388-9195

Sole ProprietorNo

Enumeration DateSeptember 14, 2011

Last NPPES UpdateJuly 19, 2022

NPPES CertifiedJuly 19, 2022

✔ NPI 1316229495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

2080 S E ST, San Bernardino, CA 92408

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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.

JOHNNY TAMAS

Licensed Psychiatric Technician