Individual provider · Type 1 NPI
Gustavo Fonseca, RN
Adult Psychiatric/Mental Health Registered Nurse · Chula Vista, CA
NPI number
1780296905
Active
Practice location
751 Medical Center Ct
Chula Vista, CA 91911-6617
Mailing address
3905 Main St
Chula Vista, CA 91911-6213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95042131 (CA) |
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95042131 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1780296905
Gustavo Fonseca, RN's National Provider Identifier is 1780296905, issued on Aug 19, 2020. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Chula Vista, CA. The record was last updated on Mar 31, 2026.