JACOB A BECERRA
NPI 1992403067
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Jacob Becerra's NPI number?

The NPI number for Jacob Becerra is 1992403067. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Q: What is Jacob Becerra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Becerra was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2023PECOS Enrolled

1975 ZONAL AVE, LOS ANGELES, CA 90089(760) 518-2708 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jacob A Becerra NPPES

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

JACOB A BECERRA (NPI 1992403067) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992403067

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB A BECERRA

Location Address1975 ZONAL AVELos Angeles, CA 90089-5601

Mailing Address521 N Avenue 50Los Angeles, CA 90042-3202 · (760) 518-2708

Phone(760) 518-2708

Sole ProprietorNo

Enumeration DateFebruary 20, 2023

NPPES CertifiedFebruary 20, 2023

✔ NPI 1992403067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1975 ZONAL AVE, Los Angeles, CA 90089

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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 (PECOS)

Jacob A Becerra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

SEIN TUN DO

Internal Medicine (Nephrology)