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NPI 1588188213

Andre L. Frazier Sr.

Peer Specialist · Riverside, CA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 11:59 am EDT

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Andre L. Frazier Sr. is a health care provider (Peer Specialist) in Riverside, California with National Provider Identifier (NPI) 1588188213. The NPI was issued on Aug 3, 2017 and the registry record was last updated on Aug 3, 2017.

Registry record

NPI
1588188213
Type
Individual (NPI-1), sole proprietor
Primary specialty
Peer Specialist 175T00000X
Practice location
3625 14th St
Riverside, CA 92501-3815
Phone
(951) 358-6919
NPI issued
Aug 3, 2017
Registry record updated
Aug 3, 2017

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Peer Specialist Primary175T00000X

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Peer Specialist providers in California

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.