Active NPI
Laura Denise Victoria
- Health Information Specialist/Technologist
- San Diego, CA
National Provider Identifier
1790476489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Specialist/Technologist
- Practice address
- 3148 Midway Dr # 113
San Diego, CA 92110-4539 - Phone
- (619) 363-0853
- Fax
- (619) 362-9905
- NPI assigned
- May 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 246Y00000X | Primary |
Addresses
Primary practice location
3148 Midway Dr # 113
San Diego, CA 92110-4539
Mailing address
3148 Midway Dr Ste 113
San Diego, CA 92110-4539
Phone (619) 363-0853
Other names 1
- Laura Denise Estrada
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1790476489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 MIDWAY DR STE 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104539",
"telephone_number": "619-363-0853",
"fax_number": "619-362-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 MIDWAY DR # 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104539",
"telephone_number": "619-363-0853",
"fax_number": "619-362-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIA",
"first_name": "LAURA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "ESTRADA",
"middle_name": "DENISE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.