Individual provider Active NPI

Jaime Obed Estrada, P.A.-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1164636353
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03505 Issued in TX
Practice address
8635 Long Point Rd Ste B
Houston, TX 77055-3037
Phone
(713) 973-8292
Fax
(713) 973-0841
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03505 TX Primary

Addresses

Primary practice location

8635 Long Point Rd Ste B
Houston, TX 77055-3037

Mailing address

8635 Long Point Rd Ste B
Houston, TX 77055-3037
Phone (713) 973-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091124000123 TX Practitioner - Physician Assistant 6507905973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica Las Americas-Long Point PLLCGroup PAC ID 4486713526, 2 clinicians

Practice addresses (Care Compare)

8635 Long Point Rd
Suite B
Houston, TX 77055-3037
Phone (713) 973-8292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03505TXMDPhysician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCIBA/Endpoint/FHCIBA
  • Direct secure messaging: jaime.estrada.1@17081.direct.athenahealth.com

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1164636353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 LONG POINT RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553037",
            "telephone_number": "713-973-8292",
            "fax_number": "713-973-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 LONG POINT RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553037",
            "telephone_number": "713-973-8292",
            "fax_number": "713-973-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JAIME",
        "middle_name": "OBED",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.