Maricela Estrada, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18581 Issued in CA

Practice address

1251 Grove Ave
Atwater, CA 95301-3653

Phone

(209) 358-8425

Fax

(209) 358-0123

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maricela.estrada.p1@direct.castle.nextgenshare.com

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.

• Castle Family Health Centers Inc

  • Urgent Care Clinic/Center
  • Atwater, CA
  • NPI 1629246624
  Medicare reassignment
• Castle Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Atwater, CA
  • NPI 1861181562
  NPD
• Castle Family Health Centers Inc.

  • Federally Qualified Health Center (FQHC)
  • Atwater, CA
  • NPI 1497778443
  NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1851574099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000",
            "fax_number": "209-358-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 GROVE AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013653",
            "telephone_number": "209-358-8425",
            "fax_number": "209-358-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MARICELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA18581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Espino Gutierrez
• Blanca Espinosa
• Carmelita Espinosa
• Ariana Espinoza
• Izabella Estrada
• Neli Estrada
• Janelle L Evans
• Express 8 LLC
• Matthew John Fagundes
• Shaista Faiz

• Physician Assistant in Atwater, CA
• Providers in Atwater, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.