Active NPI
Edward Paul Estrada, PAC
- Physician Assistant
- Montebello, CA
National Provider Identifier
1235190299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10896
- Practice address
- 2205 W. Beverly Boulevard
Montebello, CA 90640 - Phone
- (323) 728-0321
- Fax
- (323) 728-1788
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10896 | CA | Primary |
Addresses
Primary practice location
2205 W. Beverly Boulevard
Montebello, CA 90640
Mailing address
2205 W. Beverly Boulevard
Montebello, CA 90640
Phone (323) 728-0321
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Health Physicians of Pih | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321
Organizations & group practices 5
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.
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- NPI 1134373871
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Specialist
- Whittier, CA
- NPI 1578576880
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1235190299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 W. BEVERLY BOULEVARD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "323-728-0321",
"fax_number": "323-728-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 W. BEVERLY BOULEVARD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "323-728-0321",
"fax_number": "323-728-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "EDWARD",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.