JENNIFER ESTRADA (NPI# 1710982954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710982954 |
| Entity Type | Individual |
| Full Name | JENNIFER ESTRADA |
| Other Name | JENNIFER DAYOV |
| Credential | PA |
| Practice Address |
3772 Tibbetts St Riverside CA 92506-2605 |
| Mailing Address |
1075 Camino Del Rio S San Diego CA 92108-3538 |
| Practice Telephone | 8887437526 |
| Practice Fax Number | 6192910959 |
| Mailing Telephone | 6198814500 |
| Mailing Fax Number | 6192910959 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 17936 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1719 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41988300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188441 | Jennifer Renee Estrada | Counselor | 729 Wilkinson Dr, Mesquite, TX 75149-5178 | 2019-11-13 |
| 1346697166 | Jennifer Estrada | Community Health Worker | 20919 Birnam Wood Blvd, Apt.627, Humble, TX 77338-1867 | 2016-05-22 |
| 1467018853 | Jennifer Estrada | Speech-Language Pathologist | 8301 Shore Rd, Brooklyn, NY 11209-4299 | 2019-05-13 |
| 1255786695 | Jennifer Ann Estrada | Case Manager/Care Coordinator | 1501 Hughes Way, Long Beach, CA 90810-1876 | 2016-05-03 |
| 1679955454 | Jennifer Estrada | Registered Nurse | 230 Maple St, Holyoke, MA 01040-5144 | 2015-06-29 |
| 1043559495 | Jennifer Stanley Estrada | Occupational Therapist | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2013-02-05 |
| 1821266479 | Jennifer Mae Estrada | Counselor | 3307 Northlake Blvd, Suite B 104, Palm Beach Gardens, FL 33403-1703 | 2008-02-18 |
| Street Address |
3772 TIBBETTS ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296384 | Mayra Marlene Portillo | Nurse Practitioner | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2020-08-17 |
| 1457961237 | Ashley Littlejohn | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2020-08-05 |
| 1427699628 | Katherine Rachel Wall | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2019-09-30 |
| 1326694910 | Caitlin Elizabeth Delski | Nurse Practitioner | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2019-08-10 |
| 1073097432 | Nicole Ashley Soriano | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2018-09-21 |
| 1790261634 | Brooke Ashley Rodriguez | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2018-07-13 |
| 1831680610 | Rose Ann Sabio Beltran | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2018-05-28 |
| 1033632294 | Vanessa Avila | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2017-07-19 |
| 1548780265 | Hannah Kim | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2017-06-23 |
| 1083073621 | Jennifer Kim Pascual | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1467800649 | Ann Gielyn Konzem | Physician Assistant | 17301 Palm Rd, Riverside, CA 92503-7501 | 2016-05-29 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| Find all providers in RIVERSIDE | ||||
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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.