Organization Active NPI

Estrella Inc

  • Skilled Nursing Facility
  • Bellflower, CA
National Provider Identifier
1932273976
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000180 Issued in CA
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

Updated by the provider on Feb 20, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZT06131HMedicaidCA

Other names 1

  • Woodruff Convalescent Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.