Active NPI
Sue Ann Estrada Tumakay, PA-C
- Physician Assistant
- Placentia, CA
National Provider Identifier
1003863341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 17273
- Practice address
- 1275 N Rose Dr
Suite 122
Placentia, CA 92870-3941 - Phone
- (714) 961-0808
- Fax
- (714) 961-0115
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 17273 | CA | Primary |
Addresses
Primary practice location
1275 N Rose Dr
Suite 122
Placentia, CA 92870-3941
Mailing address
1275 N. Rose Dr.
Suite 122
Placentia, CA 92870-3919
Phone (714) 961-0808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 17273 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1003863341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 N. ROSE DR.",
"address_2": "SUITE 122",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703919",
"telephone_number": "714-961-0808",
"fax_number": "714-961-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 N ROSE DR",
"address_2": "SUITE 122",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703941",
"telephone_number": "714-961-0808",
"fax_number": "714-961-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMAKAY",
"first_name": "SUE ANN",
"middle_name": "ESTRADA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 17273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.