Active NPI
Anita Christine Estrada, PPS CREDENTIAL
- School Psychologist
- Covina, CA
National Provider Identifier
1912798117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 220006000
- Practice address
- 703 S Fenimore Ave
Covina, CA 91723-3426 - Phone
- (626) 533-5474
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 220006000 | CA | |
| School Psychologist | 103TS0200X | 220006000 | CA | Primary |
Addresses
Primary practice location
703 S Fenimore Ave
Covina, CA 91723-3426
Mailing address
703 S Fenimore Ave
Covina, CA 91723-3426
Phone (626) 533-5474
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 |
|---|---|---|---|
| 220006000 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1912798117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 S FENIMORE AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233426",
"telephone_number": "626-533-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 S FENIMORE AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233426",
"telephone_number": "626-533-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ANITA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "PPS CREDENTIAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "220006000",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "220006000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.