Individual provider Active NPI

Carlos Pena Estiandan, M.D.

  • Pain Medicine Physician
  • Reseda, CA
National Provider Identifier
1467533943
Registry record updated Sep 11, 2025
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Dec 20, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A38326 Issued in CA
Practice address
17756 Saticoy St
Reseda, CA 91335-3381
Phone
(818) 757-3068
Fax
(818) 757-7594
NPI assigned
Oct 18, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A38326 CA
Internal Medicine Physician 207R00000X A38326 CA
Pain Medicine Physician 208VP0000X A38326 CA Primary

Addresses

Primary practice location

17756 Saticoy St
Reseda, CA 91335-3381

Mailing address

17756 Saticoy St
Reseda, CA 91335-3381
Phone (818) 757-3068

Other names 1

  • San Antonio Health Care Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38326CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Estiandan's Medical Group, Inc. Family Medicine Past Accepting new patients

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, 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467533943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17756 SATICOY ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353381",
            "telephone_number": "818-757-3068",
            "fax_number": "818-757-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17756 SATICOY ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353381",
            "telephone_number": "818-757-3068",
            "fax_number": "818-757-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIANDAN",
        "first_name": "CARLOS",
        "middle_name": "PENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38326",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38326",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A38326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAN ANTONIO",
            "last_name": "HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.