Individual provider Active NPI

Eddie Estrada, M.D.

  • Obstetrics & Gynecology Physician
  • Casa Grande, AZ
National Provider Identifier
1386782472
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33466 Issued in AZ
Practice address
580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757
Phone
(520) 381-0380
Fax
(520) 836-1826
NPI assigned
Feb 2, 2007
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33466 AZ Primary

Addresses

Primary practice location

580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other identifiers 5

IdentifierTypeStateIssuer
03-1881OtherMEDICARE
031916OtherAZMEDICARE
261050MedicaidAZ
Z165308OtherAZMEDICARE
ZFQ31815OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000188 AZ Practitioner - Obstetrics/Gynecology 2062599822 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. CurrentSince Nov 15, 2007 Accepting new patients
Sun Life Family Health Center, Inc. Family Medicine CurrentSince Nov 15, 2007 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

1864 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 350-7560

1864 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 381-0320

580 N Camino Mercado
Ste 8
Casa Grande, AZ 85122
Phone (520) 381-0380

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

1870 W American Ave
Oracle, AZ 85623
Phone (520) 573-0966

23 S McNab Pkwy
San Manuel, AZ 85631
Phone (520) 385-2234

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sun Life Family Health CenterEloy, AZ, CCN 031813 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health CenterMaricopa, AZ, CCN 031814 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health CenterCoolidge, AZ, CCN 031820 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health CenterOracle, AZ, CCN 031871 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health CenterCasa Grande, AZ, CCN 031881 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health Center IncCasa Grande, AZ, CCN 031916 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health Center IncMesa, AZ, CCN 031918 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health CenterFlorence, AZ, CCN 031933 Federally qualified health center Corporate Officer Jun 1, 2021
Sun Life Family Health Center IncCasa Grande, AZ, CCN 031009 Federally qualified health center Corporate Officer Jun 1, 2021

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1386782472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 8",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757",
            "telephone_number": "520-381-0380",
            "fax_number": "520-836-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "EDDIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "33466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "03-1881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "031916",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261050",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z165308",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZFQ31815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.