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

Luis Fajardo

Individual provider Rehabilitation Practitioner · NPI 1174310874

Luis Fajardo is a Rehabilitation Practitioner in Riverside, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1950 Market St
Riverside, CA 92501-1720
Phone: (951) 530-5900
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1174310874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address1950 Market St, Riverside, CA 92501-1720

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