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

Gary Theragood

Individual provider Case Manager/Care Coordinator · NPI 1104067743

Gary Theragood is a Case Manager/Care Coordinator in Victorville, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

15095 Amargosa Rd Ste 208
Victorville, CA 92394-1879
Phone: (760) 245-4695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1104067743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 11, 2009
Last updated in NPPESSeptember 18, 2018

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