Active NPI
Fernando Becerra, DDS
- General Practice Dentistry
- Redding, CA
National Provider Identifier
1669795472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59151
- Practice address
- 2147 Court St
Redding, CA 96001-2531 - Phone
- (530) 246-4100
- Fax
- (530) 246-4266
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59151 | CA | Primary |
Addresses
Primary practice location
2147 Court St
Redding, CA 96001-2531
Mailing address
113 Hideaway Loop
Mission Viejo, CA 92692-5979
Phone (214) 549-6116
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 |
|---|---|---|---|
| 59151 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1669795472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 HIDEAWAY LOOP",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926925979",
"telephone_number": "214-549-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2147 COURT ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960012531",
"telephone_number": "530-246-4100",
"fax_number": "530-246-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRA",
"first_name": "FERNANDO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.