Individual provider Active NPI

Daniel Douglas Gustafson, MFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1992916407
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC20080 Issued in CA
Practice address
14751 Plaza Dr
Unit F
Tustin, CA 92780-2702
Phone
(714) 284-7445
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC20080 CA Primary

Addresses

Primary practice location

14751 Plaza Dr
Unit F
Tustin, CA 92780-2702

Mailing address

3 Parma
Irvine, CA 92602-1656
Phone (714) 505-5780

Other practice location 1

1693 Quentin St
Aurora, CO 80045-2518
Phone (720) 848-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC20080CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1992916407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARMA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021656",
            "telephone_number": "714-505-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR",
            "address_2": "UNIT F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802702",
            "telephone_number": "714-284-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1693 Quentin St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452518",
            "country_code": "US",
            "telephone_number": "720-848-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "DANIEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.