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

Mr. Dimitrius Mayo III

Individual provider Community Health Worker · NPI 1194579581

Mr. Dimitrius Mayo III is a Community Health Worker in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670
Phone: (909) 527-3463
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1194579581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

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