California Department of Corrections and Rehabiliations

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILIATIONS

Practice address

900 Quebec Ave
Corcoran, CA 93212-9715

Phone

(559) 992-7100

NPI assigned

Jul 21, 2026

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raquel Mercedes Zumaeta

Title

Clinical Psychology Intern

Phone

(415) 706-5658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1437079175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 QUEBEC AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 QUEBEC AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129715",
            "telephone_number": "559-992-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILIATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "ZUMAETA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGY INTERN",
        "authorized_official_telephone_number": "415-706-5658"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Carlos Bonilla, MD
• Harland Travis Boreen, PSYD
• Catherine Angeli Bradish, MA
• Jonathan Bradley
• Thomas James Burket II, LCSW
• California Substance Abuse Treatment Facility-State Prison
• Tifani Jill Carlsen, PPS
• Anthony Valdez Casillas
• Central Valley Maternal & Child Care Centers
• Seulji Chang

• Student in an Organized Health Care Education/Training Program in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.