Active NPI
Eimy Estrada
- Professional Counselor
- Riverside, CA
National Provider Identifier
1831635358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13932
- Practice address
- 5053 La Mart Dr Ste 105
Riverside, CA 92507-5993 - Phone
- (909) 900-0031
- NPI assigned
- Jan 7, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13932 | CA | Primary |
Addresses
Primary practice location
5053 La Mart Dr Ste 105
Riverside, CA 92507-5993
Mailing address
11321 Sherwood CT
Fontana, CA 92337-7278
Phone (909) 329-9239
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 |
|---|---|---|---|
| 13932 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1831635358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11321 SHERWOOD CT",
"city": "FONTANA",
"state": "CA",
"postal_code": "923377278",
"telephone_number": "909-329-9239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 LA MART DR STE 105",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075993",
"telephone_number": "909-900-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "EIMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-07",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "13932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.