Active NPI
Yaiselyn Estrella
- Occupational Therapist
- Rialto, CA
National Provider Identifier
1194300863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21546
- Practice address
- 1471 S Riverside Ave
Rialto, CA 92376-7703 - Phone
- (909) 877-1361
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21546 | CA | Primary |
Addresses
Primary practice location
1471 S Riverside Ave
Rialto, CA 92376-7703
Mailing address
401 Adobe St
Lake Elsinore, CA 92530-3839
Phone (951) 285-0043
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 |
|---|---|---|---|
| 21546 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1194300863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ADOBE ST",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925303839",
"telephone_number": "951-285-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 S RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923767703",
"telephone_number": "909-877-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRELLA",
"first_name": "YAISELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.