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Active NPI 1427701366 Individual Practitioner Male Practitioner

Gary Lewall Williams , PEER RECOVERY COACH

Peer Specialist • Fontana, CA

Professional Overview & Biography Verified Profile Summary

Gary Williams, PEER RECOVERY COACH is a registered healthcare professional specializing in Peer Specialist in Fontana, CA. Practice services are available at 15217 SAN BERNARDINO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15217 San Bernardino Ave

Fontana, CA 923355327

Telephone 9516432150
Associated Practice Facility / Clinic
🏢 Telecare Corporation Facility NPI 1285144139

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fontana, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Fontana, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-10
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-PCIHYD

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License CA R1486101022

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Josephine Pascua

Licensed Vocational Nurse

NPI 1164368205
Lori Boyster

Licensed Psychiatric Technician

NPI 1235902024
Nicole Lopez , MS

Marriage & Family Therapist

NPI 1255524815

Master of Science

Rosalind Victor

Registered Nurse

NPI 1275276685
Amanda Shaw

Licensed Psychiatric Technician

NPI 1336876523
Marshall Fryman , MA

Counselor - Professional

NPI 1366081895

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location October 10, 2025

Registered at 15217 SAN BERNARDINO AVE, FONTANA, CA 923355327 (Tel: 9516432150)

📍
Updated Business Mailing Address October 10, 2025

Registered at 15217 SAN BERNARDINO AVE, FONTANA, CA 923355327 (Tel: 9516432150)

👤
Provider Name / Credentials Updated October 10, 2025

Recorded as GARY WILLIAMS, PEER RECOVERY COACH

📍
Updated Practice Location May 27, 2025

Registered at 1260 E ARROW HWY, UPLAND, CA 917864982 (Tel: 9099321069)

📍
Updated Business Mailing Address May 27, 2025

Registered at 1260 E ARROW HWY, UPLAND, CA 917864982 (Tel: 9099321069)

📍
Updated Practice Location July 31, 2024

Registered at 17270 ROOSEVELT ST, RIVERSIDE, CA 925089523 (Tel: 9516836596)

📍
Updated Business Mailing Address July 31, 2024

Registered at 5870 ARLINGTON AVE, RIVERSIDE, CA 925042037 (Tel: 9516836596)

👤
Provider Name / Credentials Updated July 31, 2024

Recorded as GARY WILLIAMS, COUNSELOR 1

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2024

Counselor (License #R1486101022 in CA)

NPI Profile Active February 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2022

Registered at 9890 COUNTY FARM RD STE 2, RIVERSIDE, CA 925033678 (Tel: 9515092499)

📍
Updated Business Mailing Address February 01, 2022

Registered at 2701 N 16TH ST STE 316, PHOENIX, AZ 850061266 (Tel: 6026501212)

👤
Provider Name / Credentials Updated February 01, 2022

Recorded as GARY WILLIAMS, PEER SUPPORT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration February 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427701366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2022
Last Update: October 10, 2025
Sole Proprietor: Yes

Mailing Address

15217 San Bernardino Ave

Fontana, CA 923355327

Phone: 9516432150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.