DR. EDWARD L ESTEB (NPI# 1245339795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245339795 |
| Entity Type | Individual |
| Full Name | DR. EDWARD L ESTEB |
| Credential | MD |
| Practice Address |
12517 Lakeshore Dr Lakeside CA 92040-3103 |
| Practice Telephone | 6194433843 |
| Practice Fax Number | 6193901810 |
| Mailing Telephone | 6194433843 |
| Mailing Fax Number | 6193901810 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A14257 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12517 LAKESHORE DR |
| City | LAKESIDE |
| State | CA |
| Zip Code | 92040-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025682 | Jacob Thomas Bolz | Physician Assistant | 12517 Lakeshore Dr, Lakeside, CA 92040-3103 | 2015-06-11 |
| 1689884942 | Larry J Marshall Md A Professional Corporation | General Practice | 12517 Lakeshore Dr, Lakeside, CA 92040-3103 | 2007-05-23 |
| 1114018132 | Larry J Marshall | Family Medicine | 12517 Lakeshore Dr, Lakeside, CA 92040-3103 | 2006-09-27 |
| 1134220239 | Victor Manuel Mendoza-fernandez | Family Medicine | 12517 Lakeshore Dr, Lakeside, CA 92040-3103 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507476 | Edna Jean Collins | Registered Nurse | 15611 Mountain Valley Place, Lakeside, CA 92040 | 2020-10-26 |
| 1881180073 | Ryle Stous | Physical Therapist | 13552 Julian Ave, Lakeside, CA 92040 | 2018-07-10 |
| 1649709932 | Good Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 10553 Valle Vista Rd, Lakeside, CA 92040 | 2017-06-08 |
| 1124555461 | Jacob Milton Murdock Iv | Student in an Organized Health Care Education/Training Program | 12064 Woodside Ave Suite 105, San Diego Center for Neurofeedback, Lakeside, CA 92040 | 2017-05-17 |
| 1891152369 | Kathy Gamboa II | Registered Nurse | 9636 Caminito Macklin, Lakeside, CA 92040 | 2016-01-28 |
| 1093118176 | Thomas Hathorn | Substance Abuse Rehabilitation Facility | 24352 Featherstone Canyon Rd., Lakeside, CA 92040 | 2014-10-02 |
| 1730361569 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 9075 Creekford Drive, Lakeside, CA 92040 | 2007-12-04 |
| 1134771512 | Thais Dinese St Martin | Speech-Language Pathologist | 12335 Woodside Ave, Lakeside, CA 92040 | 2019-07-15 |
| 1831585561 | Genesis Recovery, Inc. | Substance Abuse Rehabilitation Facility | 24352 Featherstone Canyon Rd., Lakeside, CA 92040 | 2015-04-09 |
| 1699047506 | Amy S. Woh | Counselor | 12064 Woodside Ave Ste 105, Lakeside, CA 92040 | 2012-02-08 |
| Find all providers in zip 92040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1730523515 | Robert Johnson | Family Medicine | 12501 Del Sol Rd, Lakeside, CA 92040-4542 | 2013-04-23 |
| 1992148308 | Chelsey Lynne Spence | Family Medicine | 306 Stoner Loop Rd, Lakeside, MT 59922-9539 | 2013-04-16 |
| 1043526569 | Dallas Peterson Md Pllc | Family Medicine | 3401 Lockwood Dr, Lakeside, AZ 85929-5613 | 2010-08-21 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1710117031 | Bornstein Medical Pllc | Family Medicine | 5448 S White Mountain Rd, Suite 270, Lakeside, AZ 85929 | 2009-07-21 |
| 1902058928 | Kulin Tantod | Family Medicine | 10039 Vine St Ste A, Lakeside, CA 92040-3122 | 2008-10-21 |
| 1346265501 | Donna Jean Peace | Family Medicine | Peace Family Medicine, PC, 218 W White Mountain Blvd, Ste D, Lakeside, AZ 85929-0000 | 2006-07-12 |
| 1548290463 | Elizabeth Mannino | Family Medicine | 10039 Vine St, Lakeside, CA 92040-3130 | 2006-07-04 |
| 1962469783 | Jeffrey L Moffat | Family Medicine | 5448 S White Mountain Road, Suite 270, Lakeside, AZ 85929-4802 | 2006-04-26 |
| Find all providers in LAKESIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.