Individual provider Active NPI

Junne Henrie Estrada Guillermo

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1366378366
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037631 Issued in CA
Practice address
1884 Eastman Ave Ste 105
Ventura, CA 93003-5764
Phone
(805) 500-6080
NPI assigned
Jun 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95037631 CA Primary

Addresses

Primary practice location

1884 Eastman Ave Ste 105
Ventura, CA 93003-5764

Mailing address

11942 Terra Bella St Unit 13
Sylmar, CA 91342-7174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5888 Edinger Ave
Huntington Beach, CA 92649-1705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedicine Urgent Care Inc CurrentSince Jun 24, 2026 Accepting new patients

Locations

1272 Center Court Dr
Ste 105
Covina, CA 91724
Phone (626) 869-4004

5888 Edinger Ave
Huntington Beach, CA 92649
Phone (714) 377-7469

Organizations & group practices 1

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": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1366378366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11942 TERRA BELLA ST UNIT 13",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 EASTMAN AVE STE 105",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035764",
            "telephone_number": "805-500-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLERMO",
        "first_name": "JUNNE HENRIE",
        "middle_name": "ESTRADA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.