MEDICARE: CHESTER T GREGSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	38663	CA

General Provider Information

NPI Number	:	1073633731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHESTER T GREGSON

Provider Business Mailing Address
First Line	:	PO BOX 713
Second Line	:
City	:	COARSEGOLD
State	:	CA
Zip	:	93614-0713
Country	:	US
Telephone Number	:	559-676-7180
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 E GUASTI RD
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91761-8660
Country	:	US
Telephone Number	:	619-639-9730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/04/2025

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