Individual provider Active NPI

Desiree Alcaraz

  • Doula
  • Fontana, CA
National Provider Identifier
1497529952
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
15026 Mustang LN
Fontana, CA 92336-1159
Phone
(626) 993-8882
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

15026 Mustang LN
Fontana, CA 92336-1159

Mailing address

15026 Mustang LN
Fontana, CA 92336-1159

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2023.

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1497529952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15026 MUSTANG LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15026 MUSTANG LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361159",
            "telephone_number": "626-993-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCARAZ",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.