Active NPI
Veronica Estrada, FNP
- Family Nurse Practitioner
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17366
- Practice address
- 26800 Crown Valley Pkwy
Ste 525
Mission Viejo, CA 92691-8029 - Phone
- (949) 364-1040
- Fax
- (949) 365-7037
- NPI assigned
- Jul 15, 2008
- Last updated
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 633979 | CA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 17366 | CA | |
| Family Nurse Practitioner | 363LF0000X | 17366 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy
Ste 525
Mission Viejo, CA 92691-8029
Mailing address
10737 Camino Ruiz
Suite 114
San Diego, CA 92126-2359
Phone (858) 578-9600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vestrada1373926@oc.providencedirect.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, San Diego School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633979 | CA | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
26800 Crown Valley Pkwy
Ste 525
Mission Viejo, CA 92691
Phone (949) 364-1040
26800 Crown Valley Pkwy
Ste 545
Mission Viejo, CA 92691
Phone (949) 364-1040
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence Mission Hospital
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Mission Hospital
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
dba Mission Hospital
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1295999571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10737 CAMINO RUIZ",
"address_2": "SUITE 114",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921262359",
"telephone_number": "858-578-9600",
"fax_number": "858-578-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "STE 525",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926918029",
"telephone_number": "949-364-1040",
"fax_number": "949-365-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "VERONICA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "633979",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "17366",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17366",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vestrada1373926@oc.providencedirect.org",
"affiliation": "N",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "STE 525",
"city": "MISSION VIEJO",
"state": "CA",
"country_code": "US",
"postal_code": "926918029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.