NPIMap

Individual provider Active NPI

Estevan Acuna, FNP

  • Family Nurse Practitioner
  • Sonora, CA
National Provider Identifier
1104821032
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP360218 Issued in CA
Practice address
13975 Mono Way
Suite G
Sonora, CA 95370-2824
Phone
(209) 533-9600
Fax
(209) 533-9608
NPI assigned
Jun 16, 2005
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 360218 CA
Family Nurse Practitioner 363LF0000X NP360218 CA Primary

Addresses

Primary practice location

13975 Mono Way
Suite G
Sonora, CA 95370-2824

Mailing address

PO Box 939
Angels Camp, CA 95222-0939
Phone (209) 754-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090909000778 CA Practitioner - Nurse Practitioner 8729133061
I20250527002851 TX Practitioner - Nurse Practitioner 8729133061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

13975 Mono Way
Suite G
Sonora, CA 95370-2824
Phone (209) 533-9600

52 S Main St
Angels Camp, CA 95222-9153
Phone (209) 754-6262

940 Sylva LN
Sonora, CA 95370-5969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
360218CAMDRegistered Nurse
NP360218CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: estevan.acuna@direct.macthealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1104821032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-754-6262",
            "fax_number": "209-754-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY",
            "address_2": "SUITE G",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9600",
            "fax_number": "209-533-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA",
        "first_name": "ESTEVAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "360218",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP360218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.