Robert John Estis, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12019 Issued in CA

Practice address

39180 Farwell Dr Ste 211
Fremont, CA 94538

Phone

(510) 585-2545

Fax

(510) 505-9287

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Robert John Estis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992761670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR STE 211",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381015",
            "telephone_number": "510-585-2545",
            "fax_number": "510-505-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR STE 211",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-585-2545",
            "fax_number": "510-505-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIS",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA12019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE",
            "identifier": "PA12019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ESTIS",
            "middle_name": "JOHN",
            "prefix": "MR.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karla Espinosa de Los Monteros, PHD
• Adrian Galvan Espinosa
• Rochelle Espinosa
• Chiara Itchon Espiritu, M.D.
• Donna Analyn Roaring Estipona, AMFT
• Charity Estrada, LMFT, LPCC
• Roman Estrada
• Rosa Lidia Estrada
• Estrella C Trindad DMD Inc
• Shirin Etemad, PT

• Medical Physician Assistant in Fremont, CA
• Providers in Fremont, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.