Active NPI
Jan Rey G. Esteban
- Specialist
- Torrance, CA
National Provider Identifier
1265541353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT32716
- Practice address
- 22419 Kent Ave
Torrance, CA 90505-2303 - Phone
- (310) 373-9774
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT32716 | CA | Primary |
Addresses
Primary practice location
22419 Kent Ave
Torrance, CA 90505-2303
Mailing address
105 Cimarron St
La Puente, CA 91744-6202
Phone (818) 642-6818
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 |
|---|---|---|---|
| PT32716 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265541353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CIMARRON ST",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917446202",
"telephone_number": "818-642-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22419 KENT AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052303",
"telephone_number": "310-373-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEBAN",
"first_name": "JAN REY",
"middle_name": "G.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT32716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.