Active NPI
Estrella Inc
- Skilled Nursing Facility
- Bellflower, CA
National Provider Identifier
1932273976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 940000180
- Legal business name
- ESTRELLA INC
- Doing business as
- Woodruff Convalescent Center
- Practice address
- 17836 Woodruff Ave
Bellflower, CA 90706-7029 - Phone
- (562) 925-8457
- Fax
- (562) 867-5918
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay De Leon
- Title
- Corporate Secretary
- Phone
- (562) 925-8457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 940000180 | CA | Primary |
Addresses
Primary practice location
17836 Woodruff Ave
Bellflower, CA 90706-7029
Mailing address
17836 Woodruff Ave
Bellflower, CA 90706-7029
Phone (562) 925-8457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06131H | Medicaid | CA |
Other names 1
- Woodruff Convalescent Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Paramount, CA
- NPI 1912120379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235088000000",
"number": "1932273976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17836 WOODRUFF AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907067029",
"telephone_number": "562-925-8457",
"fax_number": "562-867-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17836 WOODRUFF AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907067029",
"telephone_number": "562-925-8457",
"fax_number": "562-867-5918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTRELLA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2009-02-20",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "562-925-8457",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "940000180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06131H",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodruff Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.