1. Home
  2. Directory
  3. California
  4. Modesto
  5. Counselor
  6. NPI Profile

MR. CARLOS DE LA CERDA
NPI 1972636603
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since March 13, 2007
2800 BRADEN AVE # 321, MODESTO, CA 95356(209) 404-2101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Carlos De La Cerda NPPES

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

MR. CARLOS DE LA CERDA (NPI 1972636603) is an individual addiction (substance use disorder) provider in Modesto, California, licensed in California (A0683425) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1972636603
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CARLOS DE LA CERDA
Location Address2800 BRADEN AVE # 321Modesto, CA 95356-0648
Mailing Address2800 Braden Ave # 321Modesto, CA 95356-0648 · (209) 404-2101
Phone(209) 404-2101
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972636603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A0683425
2800 BRADEN AVE # 321, Modesto, CA 95356
Open in Google Maps ↗

Other Names 1

Former Name (1)Mr. Charles De La Cerda

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 Carlos De La Cerda's NPI number?

The NPI number for Carlos De La Cerda is 1972636603. It was assigned to this individual provider in the NPPES registry on March 13, 2007. The provider is also known as Mr. Charles De La Cerda.

Where is Carlos De La Cerda located?

Carlos De La Cerda practices at 2800 Braden Ave # 321, Modesto, CA 95356. The listed phone number is (209) 404-2101.

What is Carlos De La Cerda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carlos De La Cerda was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.