Active NPI
Alejandro Estrada
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1245729268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95008851
- Practice address
- 1760 Termino Ave
Long Beach, CA 90804-2105 - Phone
- (562) 933-0249
- NPI assigned
- May 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95008851 | CA | Primary |
Addresses
Primary practice location
1760 Termino Ave
Long Beach, CA 90804-2105
Mailing address
300 Eunice Cir
La Habra, CA 90631-5204
Phone (626) 476-4804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95008851 | Other | CA | FNP |
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 |
|---|---|---|---|
| 95008851 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1245729268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 EUNICE CIR",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315204",
"telephone_number": "626-476-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 TERMINO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042105",
"telephone_number": "562-933-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ALEJANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95008851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "95008851",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.