GARY THERAGOOD
NPI 1104067743
Case Manager/Care Coordinator in Victorville, CA

Q: What is Gary Theragood's NPI number?

The NPI number for Gary Theragood is 1104067743. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Q: What is Gary Theragood's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Theragood was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since March 11, 2009

15095 AMARGOSA RD STE 208, VICTORVILLE, CA 92394(760) 245-4695 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Jun 19, 2018 (2 updates tracked since 2018).

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About Gary Theragood NPPES

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

GARY THERAGOOD (NPI 1104067743) is an individual case manager/care coordinator provider in Victorville, California and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1104067743

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameGARY THERAGOOD

Location Address15095 AMARGOSA RD STE 208Victorville, CA 92394-1879

Mailing Address15095 Amargosa Rd Ste 201Victorville, CA 92394-1868

Phone(760) 245-4695

Sole ProprietorYes

Enumeration DateMarch 11, 2009

Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration

✔ NPI 1104067743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

15095 AMARGOSA RD STE 208, Victorville, CA 92394

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