Active NPI
David Estrada
- Licensed Psychiatric Technician
- Culver City, CA
National Provider Identifier
1124961875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 37639
- Practice address
- 4741 Saint Nicholas Ave
Culver City, CA 90230-4229 - Phone
- (213) 605-1437
- NPI assigned
- Apr 9, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 37639 | CA | Primary |
Addresses
Primary practice location
4741 Saint Nicholas Ave
Culver City, CA 90230-4229
Mailing address
4741 Saint Nicholas Ave
Culver City, CA 90230-4229
Phone (213) 605-1437
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 |
|---|---|---|---|
| 37639 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1124961875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4741 SAINT NICHOLAS AVE",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304229",
"telephone_number": "213-605-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4741 SAINT NICHOLAS AVE",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304229",
"telephone_number": "213-605-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-09",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "37639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.