Mayra Betancourt

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

222 Carmen LN Ste 105
Santa Maria, CA 93458-7776

Phone

(805) 451-5053

NPI assigned

Oct 17, 2024

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1396566998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934341091",
            "telephone_number": "805-451-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CARMEN LN STE 105",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587776",
            "telephone_number": "805-451-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "MAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Bernardez
• Diana Berry-Jasso, ACSW
• Claudia Maria Berumen
• Andrew Beshwate, 15239-RAC
• Ruben Betancourt Campos, BA IN PSYCHOLOGY
• Samir N Bhatt, MD
• Khushboo Bhella
• Jia-Yi Bian, D.O.
• Shelley Marie Bibles
• Jennifer Bickerton, RBT

• Community Health Worker in Santa Maria, CA
• Providers in Santa Maria, 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 21, 2026; 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.