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MR. KEVIN JEROME FREDERICK
NPI 1366878068
Rehabilitation Practitioner in Long Beach, CA

Active since September 25, 2013
1501 HUGHES WAY, SUITE 150, LONG BEACH, CA 90810(310) 221-6336 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kevin Jerome Frederick NPPES

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

MR. KEVIN JEROME FREDERICK (NPI 1366878068) is an individual rehabilitation practitioner in Long Beach, California and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1366878068
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. KEVIN JEROME FREDERICK
Location Address1501 HUGHES WAY, SUITE 150Long Beach, CA 90810-1876
Mailing Address1501 Hughes Way, Suite 150Long Beach, CA 90810-1876 · (310) 221-6336
Phone(310) 221-6336
Sole ProprietorNo
Enumeration DateSeptember 25, 2013
✔ NPI 1366878068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1501 HUGHES WAY, Long Beach, CA 90810
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Other Identifiers 1

Other225400000XCA · Rahabilitation Parctitioner

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.

JOHNETTE GONZALEZ
Case Manager/Care Coordinator
1501 HUGHES WAY, SUITE 150
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336
DR. PETER J ZUCKER PH.D.
Marriage & Family Therapist
1501 HUGHES WAY, SUITE 150
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336
MR. JONATHAN SINCLAIR NETTLES
Counselor (Mental Health)
1501 HUGHES WAY
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336
YVETTE CAMPOS
Rehabilitation Practitioner
1501 HUGHES WAY
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336
DANIELA LINARES LVN
Licensed Vocational Nurse
1501 HUGHES WAY
LONG BEACH, CA 90810
Los Angeles County (319) 221-6336
MR. BRANDON PARKS
Marriage & Family Therapist
1501 HUGHES WAY, SUITE 150
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336
SIMONE RENEE BERI PSY.D.
Psychologist (Clinical)
1501 HUGHES WAY, SUITE 150
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336
KOURTNEY GONZALEZ
Marriage & Family Therapist
1501 HUGHES WAY, SUITE 150
LONG BEACH, CA 90810
Los Angeles County (310) 221-6336

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 Kevin Frederick's NPI number?

The NPI number for Kevin Frederick is 1366878068. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Kevin Frederick located?

Kevin Frederick practices at 1501 Hughes Way Suite 150, Long Beach, CA 90810. The listed phone number is (310) 221-6336.

What is Kevin Frederick'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 Kevin Frederick was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.