George Valera Estonactoc, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25631 Issued in CA

Practice address

28292 El Sur
Laguna Niguel, CA 92677-4422

Phone

(949) 412-7178

NPI assigned

Mar 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Cy Valera Estonactoc Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Avant Garde Psychology Inc

  • Clinical Psychologist
  • Corona del Mar, CA
  • NPI 1376141440
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1306263785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28292 EL SUR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774422",
            "telephone_number": "949-412-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28292 EL SUR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774422",
            "telephone_number": "949-412-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTONACTOC",
        "first_name": "GEORGE",
        "middle_name": "VALERA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "25631",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25631",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "25631",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "25631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CY",
            "last_name": "ESTONACTOC",
            "middle_name": "VALERA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Ahn Eng, D.D.S.
• Shane Michael Enriquez
• Envision Pediatric Therapy
• Walter Stephen Ernsdorf, PHD
• Santa Adriana Essenberg
• Santiago Estrada, PH.D.
• Eugene Humphries, D.D.S.
• Tanya Y Evans, M.D.
• Everyday Dental a Dental Corporation of Rachna Surana DDS
• Everyone Has Potential, Inc.

• Clinical Psychologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.