Active NPI
Juan Fernando Estrada
- Peer Specialist
- San Diego, CA
National Provider Identifier
1811274152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-LQGYTK
- Practice address
- 5275 Market St
Suite # E
San Diego, CA 92114-2212 - Phone
- (619) 857-4775
- NPI assigned
- Nov 15, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-LQGYTK | CA | Primary |
Addresses
Primary practice location
5275 Market St
Suite # E
San Diego, CA 92114-2212
Mailing address
5275 Market St
Suite # E
San Diego, CA 92114-2212
Phone (619) 857-4775
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-LQGYTK | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1811274152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 MARKET ST",
"address_2": "SUITE # E",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921142212",
"telephone_number": "619-857-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 MARKET ST",
"address_2": "SUITE # E",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921142212",
"telephone_number": "619-857-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "JUAN",
"middle_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-LQGYTK",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.