DR. ERIN CECILIA GUSTAFSON


Address: 172 W 3rd St Fl 1, San Bernardino, CA 92415-6930
Phone: 9093876460

DR. ERIN CECILIA GUSTAFSON (NPI# 1770877060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770877060
Entity Type Individual
Full Name DR. ERIN CECILIA GUSTAFSON
Credential M.D.
Practice Address 172 W 3rd St Fl 1
San Bernardino
CA 92415-6930
Mailing Address 172 W 3rd St Fl 1
San Bernardino
CA 92415-0010
Practice Telephone 9093876460
Practice Fax Number 9093876228
Mailing Telephone 9093876460
Mailing Fax Number 9093876228
Enumeration Date 2011-06-03
Last Update Date 2019-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
152755 CA Allopathic & Osteopathic Physicians

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Office Location

Street Address 172 W 3RD ST FL 1
City SAN BERNARDINO
State CA
Zip Code 92415-6930

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578041042 Karina Judith Barragan Student in an Organized Health Care Education/Training Program 19500 South Sunwest Lane, San Bernardino, CA 92415 2018-08-06
1841714839 Layla Subhani Marriage & Family Therapist 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 2017-08-01
1023546637 Angelica Ruiz Marriage & Family Therapist 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 2017-05-25
1750825030 Jordyn Ackerman Marriage & Family Therapist 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 2016-12-06
1083063663 San Bernardino County Department of Public Health Public Health or Welfare 1505 South D Street, San Bernardino, CA 92415 2016-06-06
1366821233 Jodi Cerney Counselor 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 2015-05-26
1427442268 Yessenia Cruz Case Manager/Care Coordinator 780 E Gilbert St Bldg H, San Bernardino, CA 92415 2015-03-18
1861808859 Hector Armando Ortega Student in an Organized Health Care Education/Training Program 1950 S. Sunwest Ln., Rialto, CA 92415 2014-07-10
1437564762 Ashlee Barker Marriage & Family Therapist 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 2014-06-25
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
Find all providers in zip 92415

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275186793 Thinknetic Medical Corporation Preventive Medicine 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 2019-07-23
1558981381 Blessing Community Health Center Preventive Medicine 3972 N Waterman Ave, San Bernardino, CA 92404-1700 2020-04-22
1831650563 Dawn M. Terashita, PC Preventive Medicine 399 E Highland Ave, Suite 117, San Bernardino, CA 92404-3808 2019-03-26
1710129093 Paul Seung Ki Kim Preventive Medicine 1950 S Sunwest Ln, Ste 108, San Bernardino, CA 92408-3263 2009-04-01
1023298148 Richard L. Neil Preventive Medicine 1329 N H St, San Bernardino, CA 92405-5039 2007-11-06
1942412903 Maury Philip Manliguis Preventive Medicine 303 E Vanderbilt Way, San Bernardino, CA 92408-3551 2007-05-04
1114074465 Bradley Paul Gilbert Preventive Medicine 303 E Vanderbilt Way, San Bernardino, CA 92408-3551 2007-01-05
1669534293 Ryan Zane Preventive Medicine 799 E Rialto Ave, San Bernardino, CA 92415-1005 2006-12-13
1093873044 Christian Olaf Christensen Preventive Medicine 799 E Rialto Ave, San Bernardino, CA 92415-1005 2006-12-04
1689651671 Kenneth Wayne Hart Preventive Medicine 1454 E 2nd St, San Bernardino, CA 92408-0118 2005-12-29
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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