Edith Becerra Perez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124375 Issued in CA

Practice address

22942 El Toro Rd
Lake Forest, CA 92630-4961

Phone

(949) 317-1010

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Lake Forest, CA
  • NPI 1376034371
  NPD

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1508302837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22942 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961",
            "telephone_number": "949-317-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22942 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961",
            "telephone_number": "949-317-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDITH",
        "middle_name": "BECERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pdic, Inc.
• Julie Therese Pearce, M.F.T.
• Nancy Pedraza
• Adrianna Perales
• Brianna Perez
• Jaqueline Perez
• Rick Andrew Perez, M.S., B.C.B.A
• Savannah Jayne Perez
• Jarrett Perkins
• Shakiba Peyrovi, FNP-C

• Marriage & Family Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.