FREDRICK L RIVERS
NPI 1902581440
Day Training/Habilitation Specialist in Lodi, CA

Active since June 21, 2023
1111 W TOKAY ST STE A, LODI, CA 95240(209) 412-2388 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Jun 21, 2023 (2 updates tracked since 2023).

About Fredrick L Rivers NPPES

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

FREDRICK L RIVERS (NPI 1902581440) is an individual day training/habilitation specialist in Lodi, California and active in the NPI registry since June 2023. He maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1902581440
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameFREDRICK L RIVERS
Location Address1111 W TOKAY ST STE ALodi, CA 95240-3965
Mailing Address1111 W Tokay St Ste ALodi, CA 95240-3965 · (209) 412-2388
Sole ProprietorYes
Enumeration DateJune 21, 2023
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1902581440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
1111 W TOKAY ST STE A, Lodi, CA 95240

Secondary Practice Location 1

Location 1130 W Flora StStockton, CA 95202-1636 · Phone (925) 321-5036

Other Providers at the Same Location NPPES 2

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

Case Manager/Care Coordinator
1111 W TOKAY ST STE A
LODI, CA 95240
Clinic/Center (Adult Mental Health)
1111 W TOKAY ST STE A
LODI, CA 95240

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 Fredrick Rivers's NPI number?

The NPI number for Fredrick Rivers is 1902581440. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Fredrick Rivers located?

Fredrick Rivers practices at 1111 W Tokay St Ste A, Lodi, CA 95240. The listed phone number is (209) 412-2388.

What is Fredrick Rivers's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Fredrick Rivers was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.