Individual provider Active NPI

Marina Estrada, NP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1235598749
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95002201 Issued in CA
Practice address
233 E Willow St
Long Beach, CA 90806-2623
Phone
(562) 989-9868
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 744270 CA
Nurse Practitioner 363L00000X NPF95002201 CA
Family Nurse Practitioner 363LF0000X NPF95002201 CA Primary

Addresses

Primary practice location

233 E Willow St
Long Beach, CA 90806-2623

Mailing address

233 E Willow St
Long Beach, CA 90806-2623

Other practice location 1

1300 W 7th St
San Pedro, CA 90732-3505
Phone (310) 514-5354

Other practice location 2

6430 South St
Lakewood, CA 90713-1713
Phone (562) 731-3990

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429000321 CA Practitioner - Nurse Practitioner 6901105717 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Emergency Medical GroupGroup PAC ID 4688097066, 24 clinicians

Practice addresses (Care Compare)

1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 514-5350

2220 Lynn Rd
Suite 301
Thousand Oaks, CA 91360-8005
Phone (805) 495-1073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95002201CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Cep America-California CurrentSince Jul 1, 2020 Accepting new patients
Mark H Mazur MD & Barry Statner MD a Professional Corporation CurrentSince Jun 27, 2023 Accepting new patients
Stephen R. Shea, M.D., Inc. CurrentSince Feb 23, 2016 Accepting new patients
Stephen R Shea, M.D., Inc CurrentSince Feb 23, 2016 Accepting new patients
Continuem CurrentSince Aug 17, 2021 Accepting new patients
Southern California Emergency Medical Group CurrentSince Jul 1, 2020 Accepting new patients
Cep America - California CurrentSince Jul 1, 2020 Accepting new patients
Continuem PastSince Nov 9, 2021 Accepting new patients

Locations

2360 E Bidwell St
Ste 107
Folsom, CA 95630
Phone (916) 220-2951

4980 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 398-5280

4037 Hardwick St
Lakewood, CA 90712

6430 South St
Lakewood, CA 90713
Phone (310) 210-8895

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1174 Castro St
Ste 150
Mountain View, CA 94040

24640 Jefferson Ave
Ste 208
Murrieta, CA 92562
Phone (951) 395-5457

301 S Fair Oaks Ave
Ste 304
Pasadena, CA 91105
Phone (626) 960-2711

15706 Pomerado Rd
Ste S202
Poway, CA 92064

9050 Fairway Dr
Ste 125
Roseville, CA 95678

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

24355 Lyons Ave
Ste 160
Santa Clarita, CA 91321
Phone (661) 600-9494

27699 Jefferson Ave
Ste 311
Temecula, CA 92590
Phone (951) 693-1159

2220 Lynn Rd
Ste 301
Thousand Oaks, CA 91360
Phone (805) 495-1073

375 Rolling Oaks Dr
Ste 210
Thousand Oaks, CA 91361
Phone (805) 495-1073

130 La Casa Via
Ste 108
Walnut Creek, CA 94598

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: marinaestrada@cem.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844

Organizations & group practices 9

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1235598749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062623",
            "telephone_number": "562-989-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W 7th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323505",
            "country_code": "US",
            "telephone_number": "310-514-5354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6430 South St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907131713",
            "country_code": "US",
            "telephone_number": "562-731-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MARINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "744270",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95002201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95002201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.