Individual provider Active NPI

Stephen Fry

  • Peer Specialist
  • Riverside, CA
National Provider Identifier
1710865514
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
HRPSS015923 Issued in CA
Practice address
3021 Franklin Ave
Riverside, CA 92507-3337
Phone
(951) 358-7877
NPI assigned
Aug 21, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X HRPSS015923 CA Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

3021 Franklin Ave
Riverside, CA 92507-3337

Mailing address

3021 Franklin Ave
Riverside, CA 92507-3337
Phone (951) 358-7877

Other practice location 1

2085 Rustin Ave
Riverside, CA 92507-2498
Phone (951) 955-3000

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

LicenseStateTypeSpecialty
HRPSS015923CAMDPeer Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1710865514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 FRANKLIN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073337",
            "telephone_number": "951-358-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FRANKLIN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073337",
            "telephone_number": "951-358-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Rustin Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072498",
            "country_code": "US",
            "telephone_number": "951-955-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-21",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "HRPSS015923",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.