Individual provider Active NPI

Doreena A Estrada, PA-C

  • Medical Physician Assistant
  • Anaheim, CA
National Provider Identifier
1508973199
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
55152 Issued in CA
Practice address
710 N Euclid Street
Anaheim, CA 92801
Phone
(714) 517-2000
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA928 CO
Medical Physician Assistant 363AM0700X 55152 CA Primary

Addresses

Primary practice location

710 N Euclid Street
Anaheim, CA 92801

Mailing address

1599 W Tedmar Ave
Anaheim, CA 92802-1340
Phone (303) 905-9011

Other practice location 1

20270 E Smoky Hill Road
Centennial, CO 80015
Phone (303) 693-2000

Other names 1

  • Doreena A Casias-Estrada Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001168 CA Practitioner - Physician Assistant 8820187636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exer Medical Corporation 336 clinicians

Practice addresses (Care Compare)

2100 S Euclid St
Suite 102
Anaheim, CA 92802-4572
Phone (714) 644-9100

2195 Sepulveda Blvd
Torrance, CA 90501-4616
Phone (424) 337-1600

235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010

2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

2968 E Florence Ave
Huntington Park, CA 90255-5826
Phone (323) 522-9500

3932 Long Beach Blvd
Suite a
Long Beach, CA 90807-2615
Phone (562) 855-2800

4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100

831 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 533-2273

9726 Venice Blvd
Culver City, CA 90232-2717
Phone (310) 202-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA928COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Jul 1, 2021 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Health Stop LLC Past Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

11560 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 477-8285

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1508973199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 W TEDMAR AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021340",
            "telephone_number": "303-905-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID STREET",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-517-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20270 E Smoky Hill Road",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80015",
            "country_code": "US",
            "telephone_number": "303-693-2000",
            "fax_number": "303-693-2043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "DOREENA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA928",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREENA",
            "last_name": "CASIAS-ESTRADA",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.