DANIEL T. ESTACIO, DDS, INC. (NPI# 1649467291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649467291 |
| Entity Type | Organization |
| Organization Name | DANIEL T. ESTACIO, DDS, INC. |
| Practice Address |
1140 E Chevy Chase Dr Glendale CA 91205-2511 |
| Practice Telephone | 8182473387 |
| Practice Fax Number | 8182472680 |
| Mailing Telephone | 8182473387 |
| Mailing Fax Number | 8182472680 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | DR. DANIEL TORIBIO ESTACIO (DENTIST/PRESIDENT) |
| Authorized Official Telephone | 8182473387 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 47886 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NO | G-93853-01 | 01 |
| Street Address |
1140 E CHEVY CHASE DR |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467571562 | Daniel Toribio Estacio | Dentist | 1140 E Chevy Chase Dr, Glendale, CA 91205-2511 | 2007-03-28 |
| 1487773594 | Gerard Raymond Perez Aguas | Dentist | 1140 E Chevy Chase Dr, Glendale, CA 91205-2511 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1497028534 | Medirect, Inc. | Preferred Provider Organization | 412 W Broadway Ste 210, Glendale, CA 91204-1297 | 2012-02-21 |
| 1407177785 | Californiacarecorp | Preferred Provider Organization | 127 S Brand Blvd # 241, Glendale, CA 91204-1342 | 2010-06-21 |
| 1770801227 | California Care Corp | Preferred Provider Organization | 610 N Central Ave Ste 106, Glendale, CA 91203-1418 | 2010-05-07 |
| 1023284072 | Simply Dental | Preferred Provider Organization | 10646 N 51st Ave, Glendale, AZ 85304-4343 | 2008-04-30 |
| 1962673574 | First Assist, PC | Preferred Provider Organization | 5922 W Yucca St, Glendale, AZ 85304-3776 | 2008-03-23 |
| 1184773889 | Aturning Point for Arizona's Children | Preferred Provider Organization | 4541 W Cheryl Dr, Glendale, AZ 85302-1913 | 2007-01-10 |
| 1265944136 | Sports Champs Inc. | Preferred Provider Organization | 3600 N Verdugo Rd, Glendale, CA 91208-1219 | 2017-10-31 |
| 1295280014 | Reel Dentistry Pllc | Preferred Provider Organization | 5700 W Olive Ave, Suite #104, Glendale, AZ 85302-3147 | 2016-08-22 |
| 1124497524 | Phillip H A Lee Md and Center for Advanced Dermatology | Preferred Provider Organization | 1510 S Central Ave Ste 470, Glendale, CA 91204-2514 | 2015-09-16 |
| Find all providers in GLENDALE | ||||
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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.