Active NPI
Consuelo Becerril, OTA
- Counselor
- Santa Ana, CA
National Provider Identifier
1164615183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- OTA 1490
- Practice address
- 1615 French St Ste 102
Santa Ana, CA 92701-2475 - Phone
- (714) 824-8150
- Fax
- (714) 824-8151
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | OTA 1490 | CA | Primary |
Addresses
Primary practice location
1615 French St Ste 102
Santa Ana, CA 92701-2475
Mailing address
266 Coronado Dr
Corona, CA 92879-2809
Phone (951) 371-0230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA 1490 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1164615183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 CORONADO DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928792809",
"telephone_number": "951-371-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 FRENCH ST STE 102",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012475",
"telephone_number": "714-824-8150",
"fax_number": "714-824-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRIL",
"first_name": "CONSUELO",
"name_prefix": "Ms.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "OTA 1490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.