Sergio Becerril-Arevalo

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

625 Fair Oaks Ave Ste 300
South Pasadena, CA 91030-5805

Phone

(626) 395-7100

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1154548980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 SHIELDS ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 300",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305805",
            "telephone_number": "626-395-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRIL-AREVALO",
        "first_name": "SERGIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward G. Barton, M.D.
• Leticia J Batice
• Sandra E. Bautista-Lechner, LCSW
• Carole Adel Beblawi
• Azalea Ann Becerra, M.F.T.
• Mary Lynn Becker, PH.D.
• Irene G Behnan, LICENSED MFT
• Icia Belchak, D.C.
• Dustyn L Benedict
• Diana Benites

• Community Health Worker in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.