Individual provider Active NPI

Yesenia Estrada

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, CA
National Provider Identifier
1962864421
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
11837 Kemper Rd Ste 2
Auburn, CA 95603-9067
Phone
(800) 346-5891
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CA Primary

Addresses

Primary practice location

11837 Kemper Rd Ste 2
Auburn, CA 95603-9067

Mailing address

11837 Kemper Rd Ste 2
Auburn, CA 95603-9067
Phone (800) 346-5891

Other practice location 1

801 E Chapman Ave
Suite 203
Fullerton, CA 92831-3839
Phone (714) 680-9000 ext. 9034

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.pesprograms.com

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1962864421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 KEMPER RD STE 2",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039067",
            "telephone_number": "800-346-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 KEMPER RD STE 2",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039067",
            "telephone_number": "800-346-5891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Chapman Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313839",
            "country_code": "US",
            "telephone_number": "714-680-9000 x9034",
            "fax_number": "714-680-8233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "YESENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pesprograms.com",
            "affiliation": "N",
            "address_1": "11837 Kemper Rd Ste 2",
            "city": "Auburn",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956039067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.