IndividualActive
Mary Villavicencio
NPI 1053742239 · Case Manager/Care Coordinator · San Bernardino, CA
Mary Villavicencio is a Case Manager/Care Coordinator provider in San Bernardino, CA (NPI 1053742239).
Provider details
- NPI number
- 1053742239
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 W 4th St
San Bernardino, CA 92415-0035
Phone: (909) 382-7880
Street-level locationGet directions
Mailing address
104 W 4th St
San Bernardino, CA 92415-0035
Registry dates
- Enumerated
- 2013-12-12
- Last updated
- 2014-01-27
Frequently asked questions
- What is Mary Villavicencio's NPI number?
- Mary Villavicencio's National Provider Identifier (NPI) is 1053742239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Villavicencio's specialty?
- Mary Villavicencio is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Mary Villavicencio located?
- Mary Villavicencio's practice location on file with NPPES is 104 W 4th St, San Bernardino, CA 92415-0035.
- What is Mary Villavicencio's phone number?
- The practice phone number listed in the NPPES registry for Mary Villavicencio is (909) 382-7880.
- Is Mary Villavicencio's NPI active?
- Yes — Mary Villavicencio's NPI (1053742239) is active in the NPPES registry as of the last update on 2014-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.