Jessica Estrada, RECOVERY WORKER

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2275 E Cooley Dr
Colton, CA 92324-6324

Phone

(909) 370-1777

Fax

(909) 370-1776

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessica Estrada Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1003221565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 EAST COOLEY DRIVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-370-1777",
            "fax_number": "909-370-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246324",
            "telephone_number": "909-370-1777",
            "fax_number": "909-370-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "RECOVERY WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ESTRADA",
            "prefix": "MISS",
            "credential": "RECOVERY WORKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Devina Hope Espinoza, MD
• Giovanna Espinoza
• Jennifer Esqueda
• John Esqueda
• Essentials for Healing Inc.
• Micaela Estrada
• Ninyette Alicia-Carrillo Estrada
• Carlyn Estrella, MD
• Margaret Evanow, M.S., L.P.C.C.
• James Evans, M.D.

• All providers in Colton, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.