Individual provider Active NPI

James C Estrada, CRNA

  • Certified Registered Nurse Anesthetist
  • Rancho Cucamonga, CA
National Provider Identifier
1447764204
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
247 Issued in CA
Practice address
8641 Mandarin Ave
Rancho Cucamonga, CA 91701-2626
Phone
(909) 987-7196
Fax
(909) 987-7196
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 247 CA Primary

Addresses

Primary practice location

8641 Mandarin Ave
Rancho Cucamonga, CA 91701-2626

Mailing address

8641 Mandarin Ave
Rancho Cucamonga, CA 91701-2626
Phone (909) 987-7196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220000150 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688008949 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Horieh Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients

Locations

1850 E Washington St
Colton, CA 92324
Phone (909) 233-7057

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

Organizations & group practices 2

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1447764204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 MANDARIN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917012626",
            "telephone_number": "909-987-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 MANDARIN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917012626",
            "telephone_number": "909-987-7196",
            "fax_number": "909-987-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.