Gustavo Fierro, MSW, CATVIV

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW63482 Issued in CA

Practice address

9890 County Farm Rd BLDG C
Riverside, CA 92503-3678

Phone

(951) 509-8320

NPI assigned

Sep 28, 2006

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telecare Corporation

  dba Telecare Riverside County Crisis Residential-Lagos

  • Psychiatric Residential Treatment Facility
  • Riverside, CA
  • NPI 1922531839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1588756829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12592 MAGNOLIA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553513",
            "telephone_number": "562-355-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 COUNTY FARM RD BLDG C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033678",
            "telephone_number": "951-509-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERRO",
        "first_name": "GUSTAVO",
        "name_prefix": "Mr.",
        "credential": "MSW, CATVIV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW63482",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW63482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher G. Fichtner, MD
• Mariejose Balleza Fichtner, MFTI
• Cedric Fields
• Hunter Logan Fields
• Ilee Fields
• Nadine Fierro
• Edgar Valentin Fierros
• Evelyn Fierros
• Ryan Arthur Cabanada Figueras, MD
• Breanna Figueroa

• Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.