DR. SANTIAGO ESTRADA (NPI# 1184901761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184901761 |
| Entity Type | Individual |
| Full Name | DR. SANTIAGO ESTRADA |
| Credential | PH.D. |
| Practice Address |
30011 Ivy Glenn Dr Ste 220 Laguna Niguel CA 92677-5018 |
| Mailing Address |
31462 Flying Cloud Dr Laguna Niguel CA 92677-2754 |
| Practice Telephone | 9494974373 |
| Mailing Telephone | 9494934423 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY12022 | CA | Behavioral Health & Social Service Providers |
| Street Address |
30011 IVY GLENN DR STE 220 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902145584 | Alison Urbank | Psychologist | 18 Bethany, Laguna Niguel, CA 92677-2931 | 2013-02-03 |
| 1912047036 | Deborah Rangel-friedman | Psychologist | 28652 Jaeger Dr, Laguna Niguel, CA 92677-1320 | 2007-02-07 |
| 1801940689 | Bruce Bower Johnston | Psychologist | 30100 Crown Valley Pkwy, Suite 17, Laguna Niguel, CA 92677-2041 | 2007-01-22 |
| 1891776134 | Julia Beth Cohen | Psychologist | 30011 Ivy Glenn Dr, Suite 206, Laguna Niguel, CA 92677-5014 | 2005-11-11 |
| 1003265547 | Paul Fick | Psychologist | 28281 Crown Valley Pkwy Ste 225, Laguna Niguel, CA 92677-1483 | 2016-06-06 |
| 1275989865 | Ashley Dean Fick | Psychologist | 28281 Crown Valley Pkwy Ste 225, Laguna Niguel, CA 92677-1483 | 2016-05-12 |
| 1538531900 | Kr Psychological Services, Inc | Psychologist | 30101 Town Center Dr, Suite 204, Laguna Niguel, CA 92677-5006 | 2015-10-26 |
| 1255628780 | Jennifer A Berg | Psychologist | 30011 Ivy Glenn Dr, Ste 206, Laguna Niguel, CA 92677-5017 | 2011-07-05 |
| 1366744070 | Rockman Family Counseling | Psychologist | 26041 Cape Dr, #250b, Laguna Niguel, CA 92677-1254 | 2010-12-01 |
| 1811194186 | Barbara A Noyes | Psychologist | 30131 Town Center Dr, Suite 280, Laguna Niguel, CA 92677-2034 | 2007-06-29 |
| Find all providers in LAGUNA NIGUEL | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
Please comment or provide details below to improve the information on DR. SANTIAGO ESTRADA.
| 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.