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

Gustavo Diaz Jr.

Individual provider Case Manager/Care Coordinator · NPI 1780407874

Gustavo Diaz Jr. is a Case Manager/Care Coordinator in Victorville, California. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

12625 Hesperia Rd
Victorville, CA 92395-7720
Phone: (760) 995-8344
Show map & directions

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

Additional practice locations (1)

  • 1330 E Cooley Dr, Colton, CA 92324-3905 — (909) 580-3705

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1780407874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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