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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY VILLAVICENCIO
NPI 1053742239
Rehabilitation Practitioner in Rialto, CA

Active since December 12, 2013
850 E FOOTHILL BLVD, RIALTO, CA 92376(909) 357-1185 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Villavicencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY VILLAVICENCIO (NPI 1053742239) is an individual rehabilitation practitioner in Rialto, California and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1053742239
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMARY VILLAVICENCIO
Location Address850 E FOOTHILL BLVDRialto, CA 92376-5230
Mailing Address850 E Foothill BlvdRialto, CA 92376-5230 · (909) 357-1185
Phone(909) 357-1185
Sole ProprietorNo
Enumeration DateDecember 12, 2013
Last NPPES UpdateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1053742239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
850 E FOOTHILL BLVD, Rialto, CA 92376
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE VERSACE MFT
Marriage & Family Therapist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9475
MRS. LINDA JOSEPHINE HEDGES M.F.T.
Marriage & Family Therapist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9470
MRS. PATRICIA LOPEZ
Interpreter
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9382
MAKIBA LATISE GREEN
Rehabilitation Practitioner
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 539-7566
MRS. MARIBEL PEREZ
Interpreter
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9456
DR. DIANA MAH PSY.D.
Psychologist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9380
MELISSA GUERRERO
Peer Specialist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9452
MRS. CHERYL PLACIDE MFT
Marriage & Family Therapist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Villavicencio's NPI number?

The NPI number for Mary Villavicencio is 1053742239. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Mary Villavicencio located?

Mary Villavicencio practices at 850 E Foothill Blvd, Rialto, CA 92376. The listed phone number is (909) 357-1185.

What is Mary Villavicencio's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Mary Villavicencio was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.