Individual provider Active NPI

Estela Murillo

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1326426040
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64476 Issued in CA
Practice address
16229 S Western Ave Ste 2
Gardena, CA 90247-4660
Phone
(310) 756-6606
Fax
(323) 480-4551
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64476 CA
General Practice Dentistry 1223G0001X 64476 CA Primary

Addresses

Primary practice location

16229 S Western Ave Ste 2
Gardena, CA 90247-4660

Mailing address

16229 S Western Ave Ste 2
Gardena, CA 90247-4660
Phone (310) 756-6606

Other identifiers 1

IdentifierTypeStateIssuer
64476OtherCADENTAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227000664 CA Practitioner - Dentist 8628598174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64476CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Wellness Centers USA CurrentSince Feb 18, 2025 Accepting new patients
Community Medical Wellness Centers USA CurrentSince Feb 18, 2025 Accepting new patients
Estela Murillo DDS, Inc. General Practice PastSince Sep 27, 2020 Accepting new patients

Locations

1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Phone (562) 270-0324

Organizations & group practices 3

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1326426040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16229 S WESTERN AVE STE 2",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474660",
            "telephone_number": "310-756-6606",
            "fax_number": "323-480-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16229 S WESTERN AVE STE 2",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474660",
            "telephone_number": "310-756-6606",
            "fax_number": "323-480-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "ESTELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64476",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "64476",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.