CARLA ISABEL BECERRA (NPI# 1265930648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265930648 |
| Entity Type | Individual |
| Full Name | CARLA ISABEL BECERRA |
| Credential | PA-C |
| Practice Address |
333 Cedar St New Haven CT 06510-3206 |
| Mailing Address |
281 River St Apt 1 Cambridge MA 02139-4472 |
| Practice Telephone | 2037857313 |
| Mailing Telephone | 6178991722 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 CEDAR ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119524 | Robert Mcnamara | Internal Medicine | 333 Cedar St, Fmp 3, New Haven, CT 06510-3206 | 2005-07-26 |
| 1245850643 | Yale Medical Foundation, Inc. | Anesthesiology | 333 Cedar St, New Haven, CT 06510-3206 | 2020-04-26 |
| 1699395095 | Yale Medicine, P.C. | Anesthesiology | 333 Cedar St, New Haven, CT 06510-3206 | 2020-04-26 |
| 1639798135 | Rohil Malpani | Student in an Organized Health Care Education/Training Program | 333 Cedar St, New Haven, CT 06510-3206 | 2020-04-14 |
| 1538718507 | Jessica L Dorey | Nurse Practitioner | 333 Cedar St, New Haven, CT 06510-3206 | 2019-09-11 |
| 1861058364 | Kirthi Sree Bellamkonda | Student in an Organized Health Care Education/Training Program | 333 Cedar St, New Haven, CT 06510-3206 | 2019-05-10 |
| 1982164364 | Paul Mccracken Bourdillon | Student in an Organized Health Care Education/Training Program | 333 Cedar St, New Haven, CT 06510-3206 | 2019-03-22 |
| 1033611942 | Sarah Jordan Campbell | Physician Assistant | 333 Cedar St, New Haven, CT 06510 | 2018-03-06 |
| 1831600139 | Georgios Bouras | Internal Medicine | 333 Cedar St, New Haven, CT 06510-3206 | 2017-10-13 |
| 1861913428 | Elyssa Marie Noce | Registered Nurse | 333 Cedar St, New Haven, CT 06510-3206 | 2017-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588860316 | Kerry Theresa Digby | Physician Assistant | 220 Boardman Building, Plastic and Reconstructive Surgery, New Haven, CT 06510 | 2007-06-27 |
| 1922085885 | Tracy E Benjamin | Physician Assistant | Yale New Haven Hospital, 1450 Chapel Street, New Haven, CT 06511 | 2005-12-30 |
| 1154956878 | Angela Preda | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2020-03-04 |
| 1467083519 | Rebecca M Arko | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2020-01-28 |
| 1558914960 | Michael K Sullivan | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2019-07-24 |
| 1891270732 | Janina Amasia Suero | Physician Assistant | 20 York St, New Haven, CT 06510-3202 | 2018-09-26 |
| 1962983486 | Christopher L Campbell | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2018-08-23 |
| 1275013468 | Melanie Anne Santos | Physician Assistant | 1450 Chapel St, New Haven, CT 06511 | 2018-08-16 |
| 1548756679 | Anastasia Elisabeth Matijcio | Physician Assistant | 1450 Chapel St, New Haven, CT 06511 | 2018-07-01 |
| 1912413139 | Nicole Rose Ciccia | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2017-12-26 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.