Maged Maher Estafan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

52942 Issued in CA

Practice address

1688 N Perris Blvd
Perris, CA 92571-4709

Phone

(951) 595-2805

NPI assigned

Oct 27, 2006

Sex

Male

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of San Diego

  • Public Health or Welfare Agency
  • San Diego, CA
  • NPI 1225255375
  Medicare reassignment NPD
• Santa Barbara County County Auditor

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1487857405
  Medicare reassignment NPD
• County of San Diego

  • Ambulance
  • San Diego, CA
  • NPI 1316685159
  NPD
• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD
• Santa Barbara County Department of Behavioral Wellness

  • Adult Mental Health Clinic/Center
  • Santa Barbara, CA
  • NPI 1356734214
  NPD
• County of San Bernardino

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD (past)
• State of South Dakota

  • Psychiatric Hospital
  • Yankton, SD
  • NPI 1124027586
  NPD (past)
• State of South Dakota

  • Audiologist
  • Vermillion, SD
  • NPI 1346366044
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1508942053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37610 VIA DE LOS ARBOLES",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928977",
            "telephone_number": "951-595-2805",
            "fax_number": "951-302-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714709",
            "telephone_number": "951-595-2805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37610 Via De Los Arboles",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925928977",
            "country_code": "US",
            "telephone_number": "605-760-3266",
            "fax_number": "951-302-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTAFAN",
        "first_name": "MAGED",
        "middle_name": "MAHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "52942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Emilia Escobedo, MSW
• Miriam Elizabeth Escobedo
• Elizabeth G Espinoza, PPS
• Veronica Espitia Carrillo
• Alexandra Esquivel-Perez
• Isla Brillit Eustaquio
• Extra Mile Care Transportation
• Extraordinary Living GP
• Shamon Fairman Campos
• Family First Congregated Living Facility Inc

• Psychiatry Physician in Perris, CA
• Providers in Perris, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.