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ALFONSO BECERRA JR. PHYSICIAN ASSISTANT
NPI 1275717506
Physician Assistant - Medical in Fontana, CA

Active since December 21, 2007PECOS EnrolledAccepts Medicare Assignment
17051 SIERRA LAKES PKWY, FONTANA, CA 92336(909) 428-1800(909) 428-0494 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alfonso Becerra Jr. Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFONSO BECERRA JR. PHYSICIAN ASSISTANT (NPI 1275717506) is an individual medical provider in Fontana, California, licensed in California (PA19493) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275717506
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameALFONSO BECERRA JR.Credential: PHYSICIAN ASSISTANT
Location Address17051 SIERRA LAKES PKWYFontana, CA 92336-1274
Mailing Address17051 Sierra Lakes PkwyFontana, CA 92336-1274 · (909) 428-1800 · Fax (909) 428-0494
Phone(909) 428-1800
Fax(909) 428-0494
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 21, 2007
Last NPPES UpdateMay 2, 2014
✔ NPI 1275717506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA19493
17051 SIERRA LAKES PKWY, Fontana, CA 92336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alfonso Becerra Jr. Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759435373
PECOS Enrollment IDI20090817000678
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE RYALL APRN MSN FNPC
Nurse Practitioner (Family)
17051 SIERRA LAKES PKWY, STE 101
FONTANA, CA 92336
San Bernardino County (909) 428-2040
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Family Medicine
17051 SIERRA LAKES PKWY, SUITE 101
FONTANA, CA 92336
San Bernardino County (909) 428-2040
RABIA MANZOOR MD
Pediatrics (Adolescent Medicine)
17051 SIERRA LAKES PKWY, STE 101
FONTANA, CA 92336
San Bernardino County (909) 428-2040
CHRISTI LYNN WILEY M.D.
Family Medicine
17051 SIERRA LAKES PKWY, SUITE 101
FONTANA, CA 92336
San Bernardino County (909) 428-2040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfonso Becerra's NPI number?

The NPI number for Alfonso Becerra is 1275717506. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Alfonso Becerra located?

Alfonso Becerra practices at 17051 Sierra Lakes Pkwy, Fontana, CA 92336. The listed phone number is (909) 428-1800.

What is Alfonso Becerra's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alfonso Becerra enrolled in Medicare?

Yes. Alfonso Becerra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alfonso Becerra was last updated on May 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.