Healthcare Provider Details

I. General information

NPI: 1992109771
Provider Name (Legal Business Name): DARLENE ANN NOGUEZ DE LA CERDA M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 S GOLD ST
YREKA CA
96097-3110
US

IV. Provider business mailing address

2132 N 10TH ST APT 12
EL CENTRO CA
92243-4397
US

V. Phone/Fax

Practice location:
  • Phone: 530-842-8400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberRPE 9362
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number23085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: