Active NPI
Daisy Becerra
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1245599604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 210 South de Lacey Avenue
Suite 110
Pasadena, CA 91105 - Phone
- (626) 395-7100
- NPI assigned
- May 4, 2012
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
210 South de Lacey Avenue
Suite 110
Pasadena, CA 91105
Mailing address
210 South de Lacey Avenue
Suite 110
Pasadena, CA 91105
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1245599604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SOUTH DE LACEY AVENUE",
"address_2": "SUITE 110",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SOUTH DE LACEY AVENUE",
"address_2": "SUITE 110",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "626-395-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRA",
"first_name": "DAISY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.