Individual provider Active NPI

Milinda Chidera Estrada, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1083246623
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57745 Issued in CA
Practice address
1501 Superior Ave Ste 210
Newport Beach, CA 92663-3640
Phone
(949) 996-5355
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 57745 CA Primary

Addresses

Primary practice location

1501 Superior Ave Ste 210
Newport Beach, CA 92663-3640

Mailing address

1501 Superior Ave Ste 210
Newport Beach, CA 92663-3640
Phone (949) 996-5355

Other names 1

  • Milinda Chidera Ajawara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422002569 CA Practitioner - Physician Assistant 1052741642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stefani Lafrenierre MD IncGroup PAC ID 4082062526, 7 clinicians

Practice addresses (Care Compare)

1501 Superior Ave
Suite 210
Newport Beach, CA 92663-3640
Phone (949) 996-5355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stefani Lafrenierre, MD Inc. Single Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

1501 Superior Ave
Ste 210
Newport Beach, CA 92663
Phone (949) 996-5355

1501 Superior Ave
Ste 300
Newport Beach, CA 92663
Phone (949) 645-9010

27184 Ortega Hwy
Ste 103
San Juan Capistrano, CA 92675
Phone (949) 374-4868

Interoperability endpoints

  • Direct secure messaging: majawara1416150@oc.providencedirect.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1083246623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-996-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-996-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MILINDA",
        "middle_name": "CHIDERA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILINDA",
            "last_name": "AJAWARA",
            "middle_name": "CHIDERA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.