Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Corey Gerald Gustafson, DO

Individual provider Emergency Medicine Physician · NPI 1912982620

Dr. Corey Gerald Gustafson, DO is an Emergency Medicine Physician in Fallbrook, California. Licensed in California and Virginia. Registered with an NPI since 2005.

Licensed in
CA, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4067 Ladera Vista Rd
Fallbrook, CA 92028-9433
Phone: (757) 513-5594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A13551 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0102201624 (VA)

Record details

NPI number1912982620
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESSeptember 18, 2015
Mailing address4067 Ladera Vista Rd, Fallbrook, CA 92028-9433

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