RODERICK L. ESTRADA (NPI# 1508944414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508944414 |
| Entity Type | Individual |
| Full Name | RODERICK L. ESTRADA |
| Credential | MD |
| Practice Address |
2185 W Grant Line Rd Tracy CA 95377-7309 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 2098393200 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A83224 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A832240 | 05 |
| Street Address |
2185 W GRANT LINE RD |
| City | TRACY |
| State | CA |
| Zip Code | 95377-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870035 | Konrad Boyd Thomas | Obstetrics & Gynecology | 2185 W Grant Line Rd, 2nd Floor, Tracy, CA 95377-7309 | 2005-12-01 |
| 1972013597 | Diane Marie Kennedy | Nurse Practitioner | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-10-10 |
| 1124552419 | Stacy Quach | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-04-13 |
| 1528592748 | Terry K Chow | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-04-13 |
| 1114451564 | Ngoc Son Dang | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-04-12 |
| 1619409745 | Natalya Pohoryelova | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-03-29 |
| 1659824399 | Eric Grady | Psychologist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2016-07-29 |
| 1235508656 | Nicole Leona Preiss | Psychologist | 2185 W Grant Line Rd, Psychiatry, Tracy, CA 95377-7309 | 2015-09-15 |
| 1477933760 | Jennifer Rae Hulin Segura | Social Worker | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2015-06-02 |
| 1992104715 | Breanne Benedict | Psychologist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2014-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528272580 | Wivina T Urbano Md Inc | Pediatrics | 4600 S Tracy Blvd Ste 110, Tracy, CA 95377-8105 | 2007-05-09 |
| 1255463089 | Monica Lynnette G Stoffer | Pediatrics | 4598 S Tracy Blvd Ste 110, Tracy, CA 95377-8117 | 2007-03-09 |
| 1831278365 | Reshma Anil Wadhwani | Pediatrics | 730 Central Ave, Tracy, CA 95376-4104 | 2006-11-03 |
| 1790885176 | Rodrigo R De La Cruz | Pediatrics | 518 W Eaton Ave, Tracy, CA 95376-3422 | 2006-09-25 |
| 1659324101 | Helene Novesteras | Pediatrics | 1530 N Bessie Ave, Ste 106, Tracy, CA 95376 | 2006-05-18 |
| 1831195692 | Neena Y Shah | Pediatrics | 4598 S Tracy Blvd, C140, Tracy, CA 95377-8107 | 2005-06-24 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1710411939 | Nora Kathleen Stillman | Pediatrics | 4598 S Tracy Blvd Ste 110, Tracy, CA 95377-8117 | 2017-04-13 |
| 1821394875 | Hurst Osteopathic Medicine, A Professional Corp | Pediatrics | 1530 Bessie Ave, Suite 104, Tracy, CA 95376-3080 | 2011-02-08 |
| 1881990513 | Hurst Osteopathic Medicine, A Professional Corporation | Pediatrics | 632 W 11th St, Suite 119, Tracy, CA 95376-3856 | 2011-01-27 |
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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.