Active NPI
Runda D Esquillo, P.T.
- Specialist
- Camarillo, CA
National Provider Identifier
1770514655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 14474
- Practice address
- 145 Miramar St
Camarillo, CA 93010-7840 - Phone
- (805) 558-7719
- Fax
- (805) 388-1971
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT 14474 | CA | Primary |
Addresses
Primary practice location
145 Miramar St
Camarillo, CA 93010-7840
Mailing address
145 Miramar St
Camarillo, CA 93010-7840
Phone (805) 558-7719
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 14474 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770514655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MIRAMAR ST",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930107840",
"telephone_number": "805-558-7719",
"fax_number": "805-388-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MIRAMAR ST",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930107840",
"telephone_number": "805-558-7719",
"fax_number": "805-388-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUILLO",
"first_name": "RUNDA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT 14474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.