Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Board

Individual provider Rehabilitation Practitioner · NPI 1316229495

Frederick Board is a Rehabilitation Practitioner in San Bernardino, California. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

2080 S E St
San Bernardino, CA 92408
Phone: (909) 388-9191
Fax: (909) 388-9195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1316229495
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2011
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

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