Active NPI
Bernardo Ochoa Alcala
- Dentist
- Selma, CA
National Provider Identifier
1609542422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106841
- Practice address
- 2775 Highland Ave Ste 103
Selma, CA 93662-3463 - Phone
- (559) 896-1752
- Fax
- (559) 896-1759
- NPI assigned
- Aug 20, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 106841 | CA | Primary |
Addresses
Primary practice location
2775 Highland Ave Ste 103
Selma, CA 93662-3463
Mailing address
2775 Highland Ave Ste 103
Selma, CA 93662-3463
Phone (559) 896-1752
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 |
|---|---|---|---|
| 106841 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1609542422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 HIGHLAND AVE STE 103",
"city": "SELMA",
"state": "CA",
"postal_code": "936623463",
"telephone_number": "559-896-1752",
"fax_number": "559-896-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 HIGHLAND AVE STE 103",
"city": "SELMA",
"state": "CA",
"postal_code": "936623463",
"telephone_number": "559-896-1752",
"fax_number": "559-896-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA ALCALA",
"first_name": "BERNARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.