Active NPI
Luis Antonio Becerra, PSYD
- Psychologist
- Newport Beach, CA
National Provider Identifier
1902155997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35533
- Practice address
- 4000 Macarthur Blvd
Newport Beach, CA 92660-2558 - Phone
- (949) 793-0122
- NPI assigned
- Sep 5, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Psychologist | 103T00000X | 35533 | CA | Primary |
Addresses
Primary practice location
4000 Macarthur Blvd
Newport Beach, CA 92660-2558
Mailing address
PO Box 755
Tustin, CA 92781-0755
Phone (714) 415-8510
Other practice location 1
218 W Main St Ste 202
Tustin, CA 92780-7719
Phone (714) 415-8510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
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 |
|---|---|---|---|
| 35533 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1902155997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927810755",
"telephone_number": "714-415-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MACARTHUR BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602558",
"telephone_number": "949-793-0122"
}
],
"practiceLocations": [
{
"address_1": "218 W Main St Ste 202",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927807719",
"country_code": "US",
"telephone_number": "714-415-8510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECERRA",
"first_name": "LUIS",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "35533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7068",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.