Individual provider Active NPI

Joseph Jess Estrada, O.D.

  • Optometrist
  • Salinas, CA
National Provider Identifier
1174619985
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8713T Issued in CA
Practice address
311 Pajaro St
Salinas, CA 93901-3421
Phone
(831) 757-4500
Fax
(831) 757-4509
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8713T CA Primary

Addresses

Primary practice location

311 Pajaro St
Salinas, CA 93901-3421

Mailing address

311 Pajaro St
Salinas, CA 93901-3421
Phone (831) 757-4500

Other identifiers 2

IdentifierTypeStateIssuer
1992884522MedicaidCA
1174619985OtherCAMEDICARE RAILROAD CARRIER

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000432 CA Practitioner - Optometry 5496895369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 Pajaro St
Salinas, CA 93901-3421
Phone (831) 757-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8713TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Jess Estrada, a P O C Optometrist CurrentSince Sep 20, 2004 Accepting new patients
Dean E Fewtrell OD a Professional Optometric Corporation Optometrist PastSince Mar 1, 2001 Accepting new patients

Locations

311 Pajaro St
Salinas, CA 93901
Phone (831) 424-6201

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1174619985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-757-4500",
            "fax_number": "831-757-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-757-4500",
            "fax_number": "831-757-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JOSEPH",
        "middle_name": "JESS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8713T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992884522",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "1174619985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.