Active NPI
Aileen Estaris, PHN
- Case Management Registered Nurse
- Chula Vista, CA
National Provider Identifier
1093834061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 357715
- Practice address
- 1627 Copper Penny Dr
Chula Vista, CA 91915-1836 - Phone
- (619) 397-2672
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 357715 | CA | Primary |
Addresses
Primary practice location
1627 Copper Penny Dr
Chula Vista, CA 91915-1836
Mailing address
1627 Copper Penny Dr
Chula Vista, CA 91915-1836
Phone (619) 397-2672
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 357715 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093834061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 COPPER PENNY DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151836",
"telephone_number": "619-397-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 COPPER PENNY DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151836",
"telephone_number": "619-397-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTARIS",
"first_name": "AILEEN",
"credential": "PHN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "357715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.