Manuel R Estioko, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C42790 Issued in CA

Practice address

1328 22ND Street
Saint Johns Health Center
Santa Monica, CA 90404

Phone

(310) 829-8618

Fax

(310) 829-8607

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326144601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 22ND STREET",
            "address_2": "SAINT JOHNS HEALTH CENTER",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-8618",
            "fax_number": "310-829-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 22ND STREET",
            "address_2": "SAINT JOHNS HEALTH CENTER",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-8618",
            "fax_number": "310-829-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIOKO",
        "first_name": "MANUEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C42790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Espinoza
• Amanda Marie Espy, LMFT
• Jennifer Esquer
• Richard Essner, M.D.
• John Esson
• Oscar Alexander Estrada Paz, M.D.
• Jaye Anthony Estrada, MD
• Amanda Josefina Estrella, MA, MFTI
• Zoe Estrin
• Donna Jane Eteson, D.M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• 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.

Verify at the official NPI Registry.