Active NPI
Rosa Estrada
- Addiction (Substance Use Disorder) Counselor
- Santa Ana, CA
National Provider Identifier
1912659905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2201 S Kilson Dr
Santa Ana, CA 92707 - Phone
- (949) 734-7432
- NPI assigned
- Jan 21, 2022
- Last updated
- Jan 21, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
2201 S Kilson Dr
Santa Ana, CA 92707
Mailing address
9564 Grace St
Fontana, CA 92335
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clean Path Recovery, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clean Path Behavioral Health
- Substance Abuse Rehabilitation Facility
- Irvine, CA
- NPI 1578067625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1912659905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9564 GRACE ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S KILSON DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92707",
"telephone_number": "949-734-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "2201 S Kilson Dr",
"city": "Santa Ana",
"state": "CA",
"country_code": "US",
"postal_code": "92707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.