Healthcare Provider Details

I. General information

NPI: 1770803462
Provider Name (Legal Business Name): SERVE THE PEOPLE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 04/12/2025
Certification Date: 04/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 E 17TH STREET SUITE 101
SANTA ANA CA
92701-2641
US

IV. Provider business mailing address

1206 E 17TH ST STE 101
SANTA ANA CA
92701-2641
US

V. Phone/Fax

Practice location:
  • Phone: 714-352-2911
  • Fax: 714-352-2903
Mailing address:
  • Phone: 714-352-2911
  • Fax: 714-352-2903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number550001441
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number550001441
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number550001441
License Number StateCA

VIII. Authorized Official

Name: DAVID A BECERRA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 714-352-2911