Rebecca Cervantes

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2535 Kettner Blvd Ste 1A4
San Diego, CA 92101

Phone

(619) 615-0701

Fax

(707) 526-9672

NPI assigned

Jul 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• R House, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Santa Rosa, CA
  • NPI 1528277969
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1922312321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 KETTNER BLVD STE 1A4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011252",
            "telephone_number": "619-615-0701",
            "fax_number": "707-526-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 KETTNER BLVD STE 1A4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-615-0701",
            "fax_number": "707-526-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Middle Rincon Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954093409",
            "country_code": "US",
            "telephone_number": "707-571-2215",
            "fax_number": "707-526-9672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Middle Rincon Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954093409",
            "country_code": "US",
            "telephone_number": "707-571-2215",
            "fax_number": "707-526-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-C10072780747",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cervantes
• La Monica Cervantes
• Marcela Anette Cervantes
• Meghan Cervantes, AUD
• Norma Cervantes, MFT
• Roberto Cervantes, DEPRESSION COUNSELOR
• Sandra Marissa Cervantes, MD
• Siria Cervantes
• Ysabella Maria Cervantes
• Cesar Augusto Manrique Moreno (Cali Baja Medical LLC)

• Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.