Healthcare Provider Details

I. General information

NPI: 1811808595
Provider Name (Legal Business Name): NANCY BECERRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 DEL MAR AVE
SAN JOSE CA
95128-3551
US

IV. Provider business mailing address

807 ROYAL WAY
BAKERSFIELD CA
93306-6641
US

V. Phone/Fax

Practice location:
  • Phone: 408-626-3403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: