Individual provider Active NPI

Leland Roy Estrella Jr.

  • Family Nurse Practitioner
  • Los Banos, CA
National Provider Identifier
1780130039
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005364 Issued in CA
Practice address
520 W I St
Los Banos, CA 93635-3419
Phone
(209) 826-0591
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005364 CA Primary

Addresses

Primary practice location

520 W I St
Los Banos, CA 93635-3419

Mailing address

520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170113002546 CA Practitioner - Nurse Practitioner 4385926989 Reassigns benefits to 1 organization
I20231004003465 HI Practitioner - Nurse Practitioner 4385926989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Cep America-California CurrentSince Jan 1, 2017 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Aug 12, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Aug 12, 2023 Accepting new patients
Cep America - California CurrentSince Jan 1, 2017 Accepting new patients
Cep America - California Current Accepting new patients
Hazel Hawkins Memorial Hospital Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: leland.estrella.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: leland.estrella@hhch.eclinicaldirectplus.com

Organizations & group practices 7

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1780130039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353419",
            "telephone_number": "209-826-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353419",
            "telephone_number": "209-826-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "LELAND",
        "middle_name": "ROY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.