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

Mary Villavicencio

Individual provider Case Manager/Care Coordinator · NPI 1053742239

Mary Villavicencio is a Case Manager/Care Coordinator in San Bernardino, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

104 W 4th St
San Bernardino, CA 92415-0035
Phone: (909) 382-7880
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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 number1053742239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2013
Last updated in NPPESJanuary 27, 2014

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