Active NPI
Miguel Rodrigo Cruz Estrera, AGACNP-BC
- Nurse Practitioner
- Simi Valley, CA
National Provider Identifier
1134980923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95028649
- Practice address
- 2655 1St St Ste 380
Simi Valley, CA 93065-1551 - Phone
- (805) 583-7640
- Fax
- (805) 583-7641
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 95028649 | CA | |
| Nurse Practitioner | 363L00000X | 95028649 | CA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 95028649 | CA |
Addresses
Primary practice location
2655 1St St Ste 380
Simi Valley, CA 93065-1551
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1812 Verdugo Blvd
Patient and Family Services
Glendale, CA 91208
Phone (818) 952-2285
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223003130 | CA | Practitioner - Nurse Practitioner | 1658808092 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- mestrera278222@direct.uclahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1134980923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 1ST ST STE 380",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651551",
"telephone_number": "805-583-7640",
"fax_number": "805-583-7641"
}
],
"practiceLocations": [
{
"address_1": "1812 Verdugo Blvd",
"address_2": "Patient and Family Services",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "91208",
"country_code": "US",
"telephone_number": "818-952-2285",
"fax_number": "818-952-3526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTRERA",
"first_name": "MIGUEL RODRIGO",
"middle_name": "CRUZ",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-18",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "95028649",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95028649",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95028649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.