Active NPI
Jorge Arturo Becerra, CAS
- Addiction (Substance Use Disorder) Counselor
- Pomona, CA
National Provider Identifier
1407121999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01-109311
- Practice address
- 790 E. Bonita
Pomona, CA 91723 - Phone
- (626) 254-5000
- NPI assigned
- Mar 15, 2012
- Last updated
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01-109311 | CA | Primary |
Addresses
Primary practice location
790 E. Bonita
Pomona, CA 91723
Mailing address
4424 So. Centinela Ave. 102
Los Angeles, CA 90066
Phone (310) 487-3536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-109311 | Other | CA | SUBSTANCE ABUSE COUNSELOR CAS |
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 |
|---|---|---|---|
| 01-109311 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1407121999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 SO. CENTINELA AVE. 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90066",
"telephone_number": "310-487-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E. BONITA",
"city": "POMONA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-254-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRA",
"first_name": "JORGE",
"middle_name": "ARTURO",
"name_prefix": "Mr.",
"credential": "CAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "01-109311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE COUNSELOR CAS",
"identifier": "01-109311",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.