Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alfonso Becerra Jr., PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1275717506

Alfonso Becerra Jr., PHYSICIANASSISTANT is a Physician Assistant in Fontana, California. Qualified in 2011, 15 years ago. Practices with Southern California Emergency Medicine, a 44-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

17051 Sierra Lakes Pkwy
Fontana, CA 92336-1274
Phone: (909) 428-1800
Fax: (909) 428-0494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19493 (CA)

Record details

NPI number1275717506
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 21, 2007
Last updated in NPPESMay 2, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern California Emergency Medicine — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fontana