Individual provider Active NPI

Jennifer L Estrella, N.P.

  • Nurse Practitioner
  • Downey, CA
National Provider Identifier
1821048083
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN305947 Issued in CA
Practice address
11480 Brookshire Ave
Suite 111
Downey, CA 90241-5010
Phone
(562) 904-1651
Fax
(562) 904-1656
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN305947 CA Primary

Addresses

Primary practice location

11480 Brookshire Ave
Suite 111
Downey, CA 90241-5010

Mailing address

11480 Brookshire Ave
Suite 111
Downey, CA 90241-5010
Phone (562) 904-1651

Other identifiers 4

IdentifierTypeStateIssuer
GR0080690OtherCAMEDI-CAL
ZZZ54573ZOtherCABLUE SHIELD
0007364697OtherCAAETNA
GR0080690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000185 CA Practitioner - Nurse Practitioner 6103826813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

11411 Brookshire Ave
Downey, CA 90241-5026
Phone (562) 789-5456

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305947CAMDPhysical Therapist
RN305947CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Feb 16, 2018 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Feb 16, 2018 Accepting new patients
Minkes & Deere, M.D.'S CurrentSince Apr 1, 2005 Accepting new patients

Locations

11480 Brookshire Ave
Ste 111
Downey, CA 90241
Phone (562) 904-1651

11411 Brookshire Ave
Downey, CA 90241
Phone (562) 862-4566

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1821048083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE",
            "address_2": "SUITE 111",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415010",
            "telephone_number": "562-904-1651",
            "fax_number": "562-904-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE",
            "address_2": "SUITE 111",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415010",
            "telephone_number": "562-904-1651",
            "fax_number": "562-904-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN305947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0080690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ54573Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007364697",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.