MEDICARE: GREGORY STILLS

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	320800000X	Mental Illness Community Based Residential Treatment Facility	202022010219	CA

General Provider Information

NPI Number	:	1457210023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY STILLS

Provider Business Mailing Address
First Line	:	2302 DONALD ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-6475
Country	:	US
Telephone Number	:	808-743-5360
Fax Number	:

Provider Business Practice Location Address
First Line	:	2302 DONALD ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-6475
Country	:	US
Telephone Number	:	808-743-5360
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

Similar Medicare Providers

1265430144 — DANIEL LOPEZ M.D.
Practice Location Address:

6475 CAMDEN AVE STE 105
SAN JOSE, CA
95120-2847

Practice Phone: 408-997-9155
Practice Fax: 408-997-9106

1356312383 — SUSAN PATRICIA MUNSEY L.C.S.W.
Practice Location Address:

6475 ALVARADO RD
SAN DIEGO, CA
92120-5013

Practice Phone: 858-279-1223
Practice Fax: 619-229-2333

1013982255 — MS. SUSAN WINTER TORMA MFT
Practice Location Address:

6475 ALVARADO RD , STE 233
SAN DIEGO, CA
92120

Practice Phone: 858-279-1223
Practice Fax: 619-229-2333

1568411221 — AFPMG INC
Practice Location Address:

6475 CAMDEN AVE , SUITE 105
SAN JOSE, CA
95120

Practice Phone: 408-997-9155
Practice Fax: 408-997-9106

1174560924 — MRS. SUMAYA ANN DINGLASAN LCSW
Practice Location Address:

6475 ALVARADO RD , SUITE 233
SAN DIEGO, CA
92120-5003

Practice Phone: 858-279-1223
Practice Fax: 619-516-4757

1023051869 — MRS. NICOLE DENISE KASTNER RN,MSN,CPNP
Practice Location Address:

6475 ALVARADO RD , SUITE #120
SAN DIEGO, CA
92120-5003

Practice Phone: 619-583-6133
Practice Fax: 619-583-0321

Directions to “ GREGORY STILLS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.