Joeben Estacio

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1440 Hotel Circle N Apt 212
San Diego, CA 92108

Phone

(727) 871-9499

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1205298510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HOTEL CIR N",
            "address_2": "APT 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082906",
            "telephone_number": "727-871-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOTEL CIRCLE N APT 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "727-871-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTACIO",
        "first_name": "JOEBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essilor Laboratories of America, Inc (Meridian Optical)
• Erik James Essington, PH.D.
• Linda Esslinger, MS, CCC-SLP
• Sherwin Gajeton Estabillo
• Lara N Estabrook, CRNA
• Reeka Estacio
• Abram Estafanous, DO
• Marie Antoinette Villas Estavillo, RN
• Edith D Esteban, CRNA
• Elaina Esteban

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.