Leland Roy Estrella Jr.
Nurse Practitioner, Family in Los Banos, CA. Individual provider (NPI-1).
NPI number1780130039
StatusActive
Last updated in NPPESJan 8, 2017
Details
- NPI
- 1780130039
- Entity type
- Individual (NPI-1)
- Name
- Leland Roy Estrella Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2016
- Last updated
- Jan 8, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95005364 | CA | Yes |
Practice location
520 W I StLos Banos, CA 93635-3419
Phone 209-826-0591
Mailing address
520 W I StLos Banos, CA 93635-3419
Phone 209-826-0591
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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