Organization Active NPI

Joseph Jess Estrada, a P O C

  • Optometrist
  • Salinas, CA
National Provider Identifier
1992884522
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8713T Issued in CA
Legal business name
JOSEPH JESS ESTRADA, A P O C
Practice address
311 Pajaro St
Salinas, CA 93901-3421
Phone
(831) 757-4500
Fax
(831) 757-4509
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Joseph Jess Estrada, ODNPI 1174619985
Title
Owner
Phone
(831) 757-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT8713T CA Primary

Addresses

Primary practice location

311 Pajaro St
Salinas, CA 93901-3421

Mailing address

311 Pajaro St
Salinas, CA 93901-3421
Phone (831) 757-4500

Other identifiers 1

IdentifierTypeStateIssuer
1992884522MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091228000470 CA Part B Supplier - Clinic/Group Practice 0941340822 Receives reassigned benefits from 1 practitioner
Practice locations: Salinas, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2052617Joseph J. Estrada, O.D. a.P.O.C.311 Pajaro St., Salinas, CA 93901Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1992884522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-757-4500",
            "fax_number": "831-757-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-757-4500",
            "fax_number": "831-757-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH JESS ESTRADA, A P O C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-757-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8713T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992884522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.