Individual provider Active NPI

Maricel Estacio, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1255121927
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034623 Issued in CA
Practice address
18943 Vickie Ave Apt 99
Cerritos, CA 90703-6231
Phone
(310) 849-2900
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95034623 CA Primary

Addresses

Primary practice location

18943 Vickie Ave Apt 99
Cerritos, CA 90703-6231

Mailing address

18943 Vickie Ave Apt 99
Cerritos, CA 90703-6231
Phone (310) 849-2900

Other names 1

  • Maricel Robles Former name

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
I20251009003195 CA Practitioner - Nurse Practitioner 3173020658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

1060 W Exposition Blvd
Los Angeles, CA 90037-3632
Phone (323) 541-1600

15301 S San Jose Ave
Compton, CA 90221-3131
Phone (562) 630-6825

1741 E 120TH St
Los Angeles, CA 90059-3051
Phone (323) 541-1600

2115 N Wilmington Ave
Compton, CA 90222-2030
Phone (310) 603-1332

4251 Crenshaw Blvd
Los Angeles, CA 90008-2536
Phone (323) 541-1411

5701 S Hoover St
Los Angeles, CA 90037-4045
Phone (323) 541-1411

6505 8TH Ave
Los Angeles, CA 90043-4313
Phone (323) 750-9232

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Nov 1, 2025 Accepting new patients
St. Johns Community Health CurrentSince Nov 1, 2025 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Aug 1, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Organizations & group practices 4

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1255121927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18943 VICKIE AVE APT 99",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036231",
            "telephone_number": "310-849-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18943 VICKIE AVE APT 99",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036231",
            "telephone_number": "310-849-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTACIO",
        "first_name": "MARICEL",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARICEL",
            "last_name": "ROBLES",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.