Angel Edgardo Becerra Martinez, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86067659 Issued in NU

Practice address

1141 Pear Tree LN
Napa, CA 94558-6484

Phone

(707) 254-1770

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angel Becerra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1245043165
  NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
  • NPI 1700976503
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1104556661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ASTI PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954019588",
            "telephone_number": "707-583-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA MARTINEZ",
        "first_name": "ANGEL",
        "middle_name": "EDGARDO",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86067659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "BECERRA",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregg J Beach, O.D.
• Vanessa Beas
• Nina Katherine Beatie, D.C.
• Susan Elise Beatty
• Craig Lamar Beaty, D.O
• Terry Lynn Beck, MFT
• Mary Becker
• Gigi Cecilia Beckham
• Navpreet Singh Bedi, DDS
• Uma Bedi

• Registered Dietitian in Napa, CA
• Providers in Napa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.