JR ESTRELLA (NPI# 1477894632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477894632 |
Entity Type | Individual |
Full Name | JR ESTRELLA |
Practice Address |
801 S Harbor Blvd Fullerton CA 92832-3022 |
Practice Telephone | 7146866031 |
Practice Fax Number | 7145260411 |
Mailing Telephone | 7146866031 |
Mailing Fax Number | 7145260411 |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
801 S HARBOR BLVD |
City | FULLERTON |
State | CA |
Zip Code | 92832-3022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
Find all providers in zip 92832 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417425604 | Sagebrush LLC | Community/Behavioral Health | 1349 Avolencia Dr, Fullerton, CA 92835-3702 | 2018-11-06 |
1326480542 | Sage Behavior Services | Community/Behavioral Health | 1435 N Harbor Blvd, 124, Fullerton, CA 92835-4105 | 2013-07-30 |
1871737056 | Alta Institute, Inc. | Community/Behavioral Health | 524 W.. Commonwealth Avenue, Suite K, Fullerton, CA 92832-1764 | 2009-05-01 |
1184716581 | Korean Community Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-09-30 |
1255996880 | Brave Relationships Family Therapy and Professional Consulting | Community/Behavioral Health | 1440 N Harbor Blvd Ste 900, Fullerton, CA 92835-4122 | 2019-05-09 |
1972045409 | Yasamin Farhad, Lmft | Community/Behavioral Health | 2601 E Chapman Ave Ste 102, Fullerton, CA 92831-3737 | 2016-11-15 |
1649712258 | Autism Spectrum Interventions | Community/Behavioral Health | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2016-11-14 |
1609249267 | Kc Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2015-11-04 |
1861886418 | Omid Multicultural Institute for Development | Community/Behavioral Health | 2601 E Chapman Ave, Suite 116, Fullerton, CA 92831-3737 | 2015-03-21 |
1396135208 | Andrade Family Therapy | Community/Behavioral Health | 305 N Harbor Blvd, Suite 215, Fullerton, CA 92832-1990 | 2015-01-29 |
Find all providers in FULLERTON |
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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.