Individual provider Active NPI

Daniel Estrada, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Santa Rosa, CA
National Provider Identifier
1346655396
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A140441 Issued in CA
Practice address
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone
(707) 525-5300
NPI assigned
Jun 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 92924 SC
Physical Medicine & Rehabilitation Physician 208100000X MD488693 PA
Physical Medicine & Rehabilitation Physician 208100000X A140441 CA Primary

Addresses

Primary practice location

1165 Montgomery Dr
Santa Rosa, CA 95405-4801

Mailing address

10736 Jefferson Blvd # 307
Culver City, CA 90230-4933

Other practice location 1

1411 E 31st St
Oakland, CA 94602-1018
Phone (510) 437-4800

Other practice location 2

13855 E 14th St
San Leandro, CA 94578-2611
Phone (510) 357-6500

Other practice location 3

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NE, CA, SC, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190815000136 IN Practitioner - Physical Medicine and Rehabilitation 4587991443 Reassigns benefits to 1 organization
I20201216001131 NE Practitioner - Physical Medicine and Rehabilitation 4587991443 Reassigns benefits to 1 organization
I20230725002427 CA Practitioner - Physical Medicine and Rehabilitation 4587991443 Reassigns benefits to 2 organizations
I20241017001785 SC Practitioner - Physical Medicine and Rehabilitation 4587991443 Reassigns benefits to 1 organization
I20250325003799 PA Practitioner - Physical Medicine and Rehabilitation 4587991443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Columbia University College of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1425 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-2229

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 503-8281

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Home Health Home health agency, Bethlehem, PA, CCN 397002
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Grand View Hospital Inpatient rehabilitation facility, Sellersville, PA, CCN 39T057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A140441CAMDPhysical Medicine & Rehabilitation Physician
MD488693PAMDPhysical Medicine & Rehabilitation Physician
92924SCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Mar 24, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Jan 20, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Alameda Health System CurrentSince Jul 3, 2023 Accepting new patients
Alameda Health System CurrentSince Jul 3, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Sep 23, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Jan 20, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Nebraska Methodist Hospital Physical Medicine & Rehabilitation CurrentSince Jan 1, 2021 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Sep 23, 2024 Accepting new patients
St Francis Hospital Inc Past Accepting new patients
Alameda Health System Past Accepting new patients
VA Greater Los Angeles Healthcare System Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

Interoperability endpoints

  • Direct secure messaging: destrada108156@alamedahs.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1346655396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD # 307",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "fax_number": "225-230-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054801",
            "telephone_number": "707-525-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946021018",
            "country_code": "US",
            "telephone_number": "510-437-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13855 E 14th St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945782611",
            "country_code": "US",
            "telephone_number": "510-357-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-5210",
            "fax_number": "866-568-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "92924",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD488693",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A140441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.