Active NPI
Elma Estrada
- Medical Physician Assistant
- Wilmington, CA
National Provider Identifier
1922461482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 53271
- Practice address
- 200 E. Anaheim Street
Wilmington, CA 90744 - Phone
- (310) 522-8700
- Fax
- (310) 549-4546
- NPI assigned
- Apr 1, 2016
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 53271 | CA | Primary |
Addresses
Primary practice location
200 E. Anaheim Street
Wilmington, CA 90744
Mailing address
2550 W. Main Street
Ste. 301
Alhambra, CA 91801
Phone (626) 457-6900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53271 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1922461482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W. MAIN STREET",
"address_2": "STE. 301",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91801",
"telephone_number": "626-457-6900",
"fax_number": "626-457-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E. ANAHEIM STREET",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "90744",
"telephone_number": "310-522-8700",
"fax_number": "310-549-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ELMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "53271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.