MR. ROBERT JOHN ESTIS (NPI# 1992761670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992761670 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JOHN ESTIS |
| Other Name | MR. ROBERT JOHN ESTIS |
| Credential | P.A |
| Practice Address |
39180 Farwell Dr Ste 211 Fremont CA 94538 |
| Mailing Address |
39180 Farwell Dr Ste 211 Fremont CA 94538-1015 |
| Practice Telephone | 5105852545 |
| Practice Fax Number | 5105059287 |
| Mailing Telephone | 5105852545 |
| Mailing Fax Number | 5105059287 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12019 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE TO PRACTICE | PA12019 | 01 |
| DEA REGISTRATION | ME0720513 | 01 |
| Street Address |
39180 FARWELL DR STE 211 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992360044 | Troy Clark Shelton | Occupational Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | 2019-05-03 |
| 1841700549 | Joan Petrilli Ferrari | Occupational Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | 2017-10-07 |
| 1073936498 | Lashonda Petry | Specialist | 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | 2014-01-22 |
| 1053449918 | Melinda Lokelani Carol | Orthopaedic Surgery | 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | 2007-03-01 |
| 1518000652 | Marci Claire Kneeter | Physical Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538 | 2007-02-15 |
| 1356382691 | Rita Thomas | Occupational Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235416710 | Manuel Antonio Hipol | Physician Assistant | 37313 Maple St, Fremont, CA 94536-4848 | 2011-11-10 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| 1992804587 | Joseph Ray Warren Jr. | Physician Assistant | 109 S Sycamore St, Fremont, NC 27830-8710 | 2006-09-21 |
| 1841265097 | Lisa M Stenvers | Physician Assistant | 2350 N Clarkson St, Fremont, NE 68025-2312 | 2006-02-21 |
| 1427666577 | Sophie Dunnell Ullman | Physician Assistant | 3301 E Elkhorn Dr Ste 100, Fremont, NE 68025-6240 | 2020-07-15 |
| 1962998849 | Sonia S Chahal | Physician Assistant | 39001 Sundale Dr, Fremont, CA 94538-2005 | 2018-07-03 |
| 1407197437 | Mary Surdilla | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2013-03-15 |
| 1831495944 | Carlos Edward Jaramillo | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2011-02-07 |
| 1932405453 | Kimberly N Kurtz | Physician Assistant | 39141 Civic Center Dr, Suite #130, Fremont, CA 94538-5818 | 2011-01-31 |
| 1295952034 | Georgann Gervasi-lyttkens | Physician Assistant | 2333 Mowry Ave, Suite #220, Fremont, CA 94538-1625 | 2007-04-20 |
| Find all providers in FREMONT | ||||
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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.