Active NPI
Andrew Freeman
- Case Manager/Care Coordinator
- Perris, CA
National Provider Identifier
1336772870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- AII59130618
- Practice address
- 2055 N Perris Blvd Ste C
Perris, CA 92571-2509 - Phone
- (951) 715-5050
- NPI assigned
- Feb 12, 2020
- Last updated
- Apr 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AII59130618 | CA | Primary |
Addresses
Primary practice location
2055 N Perris Blvd Ste C
Perris, CA 92571-2509
Mailing address
2055 N Perris Blvd Ste C
Perris, CA 92571-2509
Phone (951) 715-5050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AII59130618 | CA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & C Swan Inc | Current | Accepting new patients | |
| His House New Creation Treatment Center | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Upland, CA
- NPI 1376371187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1336772870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N PERRIS BLVD STE C",
"city": "PERRIS",
"state": "CA",
"postal_code": "925712509",
"telephone_number": "951-715-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N PERRIS BLVD STE C",
"city": "PERRIS",
"state": "CA",
"postal_code": "925712509",
"telephone_number": "951-715-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-12",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "AII59130618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.