Elizabeth Sugapong Estrada-Federizo, M.D,

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

A051630 Issued in CA

Practice address

38350 40TH St E
Suite 100
Palmdale, CA 93552-3075

Phone

(661) 272-5001

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Palenzuela Sugapong Former name

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 Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• County of Los Angeles

  • State or Local Public Health Clinic/Center
  • Los Angeles, CA
  • NPI 1083808836
  NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles

  • Clinic/Center
  • Palmdale, CA
  • NPI 1730191628
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750414009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43244 FANCHON AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361357",
            "telephone_number": "661-940-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38350 40TH ST E",
            "address_2": "SUITE 100",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523075",
            "telephone_number": "661-272-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA-FEDERIZO",
        "first_name": "ELIZABETH",
        "middle_name": "SUGAPONG",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "A051630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SUGAPONG",
            "middle_name": "PALENZUELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magali Espinoza, RBT
• Vanessa Espinoza
• Essential Orthotics & Prosthetics
• Essential Orthotics and Prosthetics Inc
• Bran'D Hutalla Estella, DMD
• Ivette Berenice Estrada
• Jasmine Estrada
• Sergio Alvaro Estrada
• Tamika Estrella
• Kayleen Evangelista, NP

• Community Health Clinic/Center in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.