Diane Estrada

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1049 Union Ave Ste D
Fairfield, CA 94533-5526

Phone

(707) 422-0464

Fax

(707) 422-0465

NPI assigned

Mar 23, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Children'S Nurturing Project

  • Voluntary or Charitable Agency
  • Fairfield, CA
  • NPI 1619034428
  NPD (past)

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1750522652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945330030",
            "telephone_number": "707-422-0464",
            "fax_number": "707-422-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 UNION AVE STE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335526",
            "telephone_number": "707-422-0464",
            "fax_number": "707-422-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48BI1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond C Espiritu
• Andrea Espitia
• Rosemarie Esposito-Pica, SUDCC
• Tammy Marie Estes
• Yadira Estrada-Valencia
• Brandon Estrella
• Alva Marie Evans, ASW 99869
• Erika Denise Evans, PHARM.D.
• Kenneth R Evans
• Katisha Lashaan Everett

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.