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GUSTAVO DIAZ JR.
NPI 1780407874
Rehabilitation Practitioner in Victorville, CA

Active since November 06, 2024
12625 HESPERIA RD, VICTORVILLE, CA 92395(760) 995-8344 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2025, Nov 13, 2024, Nov 6, 2024 (3 updates tracked since 2024).

About Gustavo Diaz Jr. NPPES

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

GUSTAVO DIAZ JR. (NPI 1780407874) is an individual rehabilitation practitioner in Victorville, California and active in the NPI registry since November 2024. He maintains a secondary practice location in Colton.

NPPES Registry Identity

NPI1780407874
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameGUSTAVO DIAZ JR.
Location Address12625 HESPERIA RDVictorville, CA 92395-7720
Mailing Address12625 Hesperia RdVictorville, CA 92395-7720
Phone(760) 995-8344
Sole ProprietorNo
Enumeration DateNovember 6, 2024
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1780407874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12625 HESPERIA RD, Victorville, CA 92395
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Secondary Practice Location 1

Location 11330 E Cooley DrColton, CA 92324-3905 · Phone (909) 580-3705

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.

ERICA WILSON
Adult Companion
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
ALICIA KAY MCDONELL
Day Training/Habilitation Specialist
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
MRS. STARLA N. LYLES MCKELVY DO
Psychiatry & Neurology (Psychiatry)
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
HAROLD S HINES
Counselor (Mental Health)
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 955-1777
ADRIANA HERMOSILLO M.S., LMFT
Marriage & Family Therapist
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
ERICA MARISCAL-VIGIL
Case Manager/Care Coordinator
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
BRYAN ALEJANDRO CORNIEL
Rehabilitation Practitioner
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8345
REBECCA MARIE ALVAREZ
Day Training/Habilitation Specialist
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300

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 Gustavo Diaz's NPI number?

The NPI number for Gustavo Diaz is 1780407874. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Gustavo Diaz located?

Gustavo Diaz practices at 12625 Hesperia Rd, Victorville, CA 92395. The listed phone number is (760) 995-8344.

What is Gustavo Diaz'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 Gustavo Diaz was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.