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MR. ROGER MICHAEL GUSTAFSON N.P.
NPI 1396766077
Nurse Practitioner - Adult Health in Loma Linda, CA

Active since July 21, 2006
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Roger Michael Gustafson N.p. NPPES

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

MR. ROGER MICHAEL GUSTAFSON N.P. (NPI 1396766077) is an individual adult health provider in Loma Linda, California, licensed in California (475764) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396766077
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. ROGER MICHAEL GUSTAFSONCredential: N.P.
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address1270 Mohave DrColton, CA 92324-4740
Phone(909) 825-7084
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396766077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 475764
11201 BENTON ST, Loma Linda, CA 92357
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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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.
Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
JUNGMI LEE LCSW
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PETRU PAPACOSTEA
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY J DALLMEIER RRT
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY BEAVER LSW
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 674-2794
DR. KRYSTAL GREGG PSYD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
HOLLY CORNEJO FNP-C
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MELISSA SOLOMON-JACKSON
Registered Nurse (Emergency)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 805-7084

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 Roger Gustafson's NPI number?

The NPI number for Roger Gustafson is 1396766077. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Roger Gustafson located?

Roger Gustafson practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Roger Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Roger Gustafson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.