Individual provider Active NPI

Craig N. Estes, PA

  • Physician Assistant
  • Bermuda Dunes, CA
National Provider Identifier
1003807595
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16866 Issued in CA
Practice address
41120 Washington St
Bermuda Dunes, CA 92203-9215
Phone
(760) 360-3193
Fax
(760) 320-2725
NPI assigned
Nov 2, 2005
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16866 CA Primary

Addresses

Primary practice location

41120 Washington St
Bermuda Dunes, CA 92203-9215

Mailing address

41120 Washington St
Bermuda Dunes, CA 92203-9215
Phone (760) 360-3193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Efren F Wu MD Inc CurrentSince May 20, 2018 Accepting new patients
Emergency Physicians Medical Group, Inc Past Accepting new patients
Emergency Medicine Physician Partners of Rancho Mirage, Inc Past Accepting new patients
Desert Medical Group Past Accepting new patients

Locations

47647 Caleo Bay Dr
Ste 140
La Quinta, CA 92253
Phone (760) 289-2370

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1003807595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039215",
            "telephone_number": "760-360-3193",
            "fax_number": "760-320-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039215",
            "telephone_number": "760-360-3193",
            "fax_number": "760-320-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "CRAIG",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.