Healthcare Provider Details

I. General information

NPI: 1932664778
Provider Name (Legal Business Name): NATALIA REBEKAH CARMONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 LASSEN BLVD
YUBA CITY CA
95993-8987
US

IV. Provider business mailing address

1895 LASSEN BLVD
YUBA CITY CA
95993-8987
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-2400
  • Fax:
Mailing address:
  • Phone: 530-822-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number91630
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number91630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: