Active NPI
Carolina Estrada
- Addiction (Substance Use Disorder) Counselor
- Buena Park, CA
National Provider Identifier
1316461338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1238050916
- Practice address
- 6065 La Canada Cir
Buena Park, CA 90620-2340 - Phone
- (562) 324-7639
- Fax
- (714) 992-5475
- NPI assigned
- Aug 1, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1238050916 | CA | Primary |
Addresses
Primary practice location
6065 La Canada Cir
Buena Park, CA 90620-2340
Mailing address
6065 La Canada Cir
Buena Park, CA 90620-2340
Phone (562) 324-7639
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 |
|---|---|---|---|
| R1238050916 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1316461338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 LA CANADA CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202340",
"telephone_number": "562-324-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 LA CANADA CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202340",
"telephone_number": "562-324-7639",
"fax_number": "714-992-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "CAROLINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1238050916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.