Edgar Bezada, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3487 Issued in CA

Practice address

20924 Olympia Rd
Madera, CA 93638-8073

Phone

(559) 495-8533

Fax

(000) 000-0000

NPI assigned

Apr 3, 2025

Sex

Male

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

State licenses

Practice roles

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.

• Safe Edge Home and Health LLC

  • Community/Behavioral Health Agency
  • Madera, CA
  • NPI 1306773734
  NPD Authorized official

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1760286132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20924 OLYMPIA RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388073",
            "telephone_number": "559-495-8533",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20924 OLYMPIA RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388073",
            "telephone_number": "559-495-8533",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZADA",
        "first_name": "EDGAR",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Jimena Bermudez-Maciel
• Caitlin Elaine Bernard-Vincent, LCSW
• Kenneth Bernstein, M.D.
• Lynn Bertram, MD
• Cynthia Berube, FNP
• Dupinderjit Kaur Bhangal, MD
• Anmol Bhatia
• Saniya B Bhusari, MSHI, MHA, BDS
• Rylee Bibby
• Devonna Bidwal

• Occupational Therapy Assistant in Madera, CA
• Providers in Madera, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.