Active NPI
Patrick Estudillo, FNP-BC
- Nurse Practitioner
- Montclair, CA
National Provider Identifier
1336853688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95023825
- Practice address
- 5050 Palo Verde St Ste 101
Montclair, CA 91763-2333 - Phone
- (909) 625-5518
- NPI assigned
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95023825 | CA | Primary |
Addresses
Primary practice location
5050 Palo Verde St Ste 101
Montclair, CA 91763-2333
Mailing address
14665 Prairie Smoke Rd
Eastvale, CA 92880-9146
Phone (626) 251-0418
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patrick.estudillo@cintahospicecare.com | Direct |
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 |
|---|---|---|---|
| 95023825 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Home Health | Current | Accepting new patients | |
| Prestigious Health Services Inc | Current | Accepting new patients | |
| Cinta Hospice Care Inc | Past | Accepting new patients |
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.
-
- Home Health Agency
- Ontario, CA
- NPI 1366777567
-
dba Prestigious Hospice
- Community Based Hospice Care Agency
- Pomona, CA
- NPI 1952628653
-
- Community Based Hospice Care Agency
- Montclair, CA
- NPI 1912333790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1336853688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14665 PRAIRIE SMOKE RD",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928809146",
"telephone_number": "626-251-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 PALO VERDE ST STE 101",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632333",
"telephone_number": "909-625-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTUDILLO",
"first_name": "PATRICK",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95023825",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patrick.estudillo@cintahospicecare.com",
"affiliation": "N",
"endpointDescription": "Office email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5050 Palo Verde St Ste 101",
"city": "Montclair",
"state": "CA",
"country_code": "US",
"postal_code": "917632333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.