Bran'D Hutalla Estella, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

104009 Issued in CA

Practice address

540 W Rancho Vista Blvd
Palmdale, CA 93551-3010

Phone

(661) 402-0029

NPI assigned

Jul 18, 2019

Last updated

Mar 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brand.hutulladmd.p1@direct.jwch.nextgenshare.com

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.

• Hutalla Estella Dental Corp.

  dba SoCal Tooth Co

  • Dental Clinic/Center
  • Palmdale, CA
  • NPI 1629648860
  NPD Authorized official

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1477106557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16733 LA VEDA AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871723",
            "telephone_number": "323-369-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W RANCHO VISTA BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513010",
            "telephone_number": "661-402-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLA",
        "first_name": "BRAN'D",
        "middle_name": "HUTALLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Escudero
• Magali Espinoza, RBT
• Vanessa Espinoza
• Essential Orthotics & Prosthetics
• Essential Orthotics and Prosthetics Inc
• Elizabeth Sugapong Estrada-Federizo, M.D,
• Ivette Berenice Estrada
• Jasmine Estrada
• Sergio Alvaro Estrada
• Tamika Estrella

• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.