Healthcare Provider Details

I. General information

NPI: 1700720224
Provider Name (Legal Business Name): NEREYDA CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 S 3RD ST
EL CAJON CA
92019-2517
US

IV. Provider business mailing address

750 E MAIN ST
EL CAJON CA
92020-4012
US

V. Phone/Fax

Practice location:
  • Phone: 619-588-3083
  • Fax:
Mailing address:
  • Phone: 619-588-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number23071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: