Individual provider Active NPI

Marlon Carlo Estella

  • Psychiatric/Mental Health Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1386413706
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028472 Issued in CA
Practice address
25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596
Phone
(818) 600-2034
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95028472 CA Primary

Addresses

Primary practice location

25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596

Mailing address

25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596
Phone (818) 600-2034

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240512000004 CA Practitioner - Nurse Practitioner 6608217351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New U Therapy Center and Family Services IncGroup PAC ID 4981034402, 20 clinicians

Practice addresses (Care Compare)

25000 Ave Stanford
Suite 167
Valencia, CA 91355-4596
Phone (818) 600-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circulus Clinic PC Single Specialty CurrentSince Aug 16, 2025 Accepting new patients
Ca Psychiatry & Mental Health Nursing Professional Corporation Single Specialty CurrentSince Oct 27, 2025 Accepting new patients
New U Therapy Center & Family Services Inc. Single Specialty CurrentSince Apr 30, 2024 Accepting new patients

Locations

21050 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (661) 425-7525

3812 Sepulveda Blvd
Ste 260
Torrance, CA 90505
Phone (661) 535-0916

21615 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (310) 371-8555

25000 Avenue Stanford
Ste 167
Valencia, CA 91355
Phone (661) 299-7033

31200 Via Colinas
Ste 202
Westlake Village, CA 91362
Phone (661) 299-7033

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1386413706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 167",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554596",
            "telephone_number": "818-600-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 167",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554596",
            "telephone_number": "818-600-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLA",
        "first_name": "MARLON CARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.