Individual provider Active NPI

Cecilia Huerta

  • Peer Specialist
  • Sacramento, CA
National Provider Identifier
1891411716
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
Y5482973 Issued in CA
Practice address
4433 Florin Rd Ste 600
Sacramento, CA 95823-2527
Phone
(916) 234-2577
Fax
(916) 236-2577
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Y5482973 CA
Peer Specialist 175T00000X Y5482973 CA Primary

Addresses

Primary practice location

4433 Florin Rd Ste 600
Sacramento, CA 95823-2527

Mailing address

4433 Florin Rd Ste 600
Sacramento, CA 95823-2527
Phone (916) 234-2577

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

LicenseStateTypeSpecialty
Y5482973CAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
El Hogar Community Services, Inc. CurrentSince Oct 16, 2022 Accepting new patients

Locations

4433 Florin Rd
Ste 600
Sacramento, CA 95823
Phone (916) 234-2577

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1891411716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 FLORIN RD STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232527",
            "telephone_number": "916-234-2577",
            "fax_number": "916-236-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 FLORIN RD STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232527",
            "telephone_number": "916-234-2577",
            "fax_number": "916-236-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "Y5482973",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "Y5482973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.