Active NPI
Alyssa Estrada
- Specialist
- San Francisco, CA
National Provider Identifier
1669031258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A178159
- Practice address
- 3609 Sacramento St
San Francisco, CA 94118-1709 - Phone
- (415) 237-0377
- NPI assigned
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A178159 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Specialist | 174400000X | A178159 | CA | Primary |
Addresses
Primary practice location
3609 Sacramento St
San Francisco, CA 94118-1709
Mailing address
3609 Sacramento St
San Francisco, CA 94118-1709
Phone (415) 237-0377
Other practice location 1
11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-9532
Other practice location 2
1635 W Main St # 100
Alhambra, CA 91801-1951
Phone (626) 248-1800
Other names 1
- Alyssa Tao
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178159 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- atao257338@direct.llu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1669031258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 SACRAMENTO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181709",
"telephone_number": "415-237-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 SACRAMENTO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181709",
"telephone_number": "415-237-0377"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-9532",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1635 W Main St # 100",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918011951",
"country_code": "US",
"telephone_number": "626-248-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTRADA",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A178159",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A178159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "TAO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.