Individual provider Active NPI

Jacqueline Becerra-Lising, RDH

  • Specialist
  • Chino Hills, CA
National Provider Identifier
1215694955
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
13925 City Center Dr Ste 200
Chino Hills, CA 91709-5438
Phone
(909) 702-6745
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 21913 CA
Specialist 174400000X CA Primary

Addresses

Primary practice location

13925 City Center Dr Ste 200
Chino Hills, CA 91709-5438

Mailing address

13925 City Center Dr Ste 200
Chino Hills, CA 91709-5438
Phone (909) 702-6745

Other practice location 1

10165 Foothill Blvd Ste 2
Rancho Cucamonga, CA 91730-0341
Phone (909) 702-6745

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

LicenseStateTypeSpecialty
21913CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Upside Down Frown Care, LLC Specialist Current Accepting new patients

Locations

13925 City Center Dr
Ste 200
Chino Hills, CA 91709
Phone (408) 520-0428

10165 Foothill Blvd
Ste 2
Rancho Cucamonga, CA 91730
Phone (909) 702-6745

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1215694955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 CITY CENTER DR STE 200",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095438",
            "telephone_number": "909-702-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 CITY CENTER DR STE 200",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095438",
            "telephone_number": "909-702-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10165 Foothill Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300341",
            "country_code": "US",
            "telephone_number": "909-702-6745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECERRA-LISING",
        "first_name": "JACQUELINE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "21913",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.