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

Gary Dicenzo

Individual provider Community Health Worker · NPI 1376111468

Gary Dicenzo is a Community Health Worker in Ukiah, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

169 Mason St
Ukiah, CA 95482-4482
Phone: (707) 463-3300
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1376111468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address169 Mason St, Ukiah, CA 95482-4482

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