Active NPI
Amanda Freyre
- Peer Specialist
- Rancho Cucamonga, CA
National Provider Identifier
1164280657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 9645 Arrow Route
Building 5 Suite a
Rancho Cucamonga, CA 91730 - Phone
- (909) 948-5747
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
9645 Arrow Route
Building 5 Suite a
Rancho Cucamonga, CA 91730
Mailing address
9645 Arrow Route
Building 5 Suite a
Rancho Cucamonga, CA 91730
Phone (909) 948-5747
Other practice location 1
3950 Reynolds Rd
Riverside, CA 92503-3517
Phone (951) 358-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1164280657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9645 ARROW ROUTE",
"address_2": "BUILDING 5 SUITE A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-948-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9645 ARROW ROUTE",
"address_2": "BUILDING 5 SUITE A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-948-5747"
}
],
"practiceLocations": [
{
"address_1": "3950 Reynolds Rd",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925033517",
"country_code": "US",
"telephone_number": "951-358-4303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREYRE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.