Individual provider Active NPI

Jennifer Ilene Estey, DNP, FNP-BC, CRRN

  • Nurse Practitioner
  • Harbor City, CA
National Provider Identifier
1316502099
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011213 Issued in CA
Practice address
1403 Lomita Blvd Ste 307
Harbor City, CA 90710
Phone
(310) 456-4317
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011213 CA Primary

Addresses

Primary practice location

1403 Lomita Blvd Ste 307
Harbor City, CA 90710

Mailing address

1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085
Phone (310) 456-4317

Other practice location 1

2800 Pacific Ave Ste D
Long Beach, CA 90806-1468
Phone (562) 337-8401

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
I20191023002044 CA Practitioner - Nurse Practitioner 0042542110 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95011213CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osher Resources Inc CurrentSince Jul 15, 2019 Accepting new patients
Molina Healthcare of California CurrentSince Sep 21, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Randall Foot and Ankle Surgery Inc PastSince May 9, 2021 Accepting new patients
Ultimate Health Medical Services LLC., a California Liability Company PastSince Jul 27, 2021 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

Interoperability endpoints

  • Direct secure messaging: jestey41712@altamed.direct-ci.com
  • Direct secure messaging: jestey20315@direct-prd.molinahealthcare.com

Organizations & group practices 5

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1316502099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 307",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "310-456-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 307",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-456-4317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Pacific Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061468",
            "country_code": "US",
            "telephone_number": "562-337-8401",
            "fax_number": "562-337-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTEY",
        "first_name": "JENNIFER ILENE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, CRRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.