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LETICIA CAMANGEG ESTAVILLO NURSE PRACTITIONER
NPI 1164731485
Nurse Practitioner in Carson, CA

Active since October 04, 2010PECOS Enrolled
23517 S. MAIN ST. #103, CARSON, CA 90745(310) 834-5388 Get Directions Write a Review

NPPES record last updated: October 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leticia Camangeg Estavillo Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA CAMANGEG ESTAVILLO NURSE PRACTITIONER (NPI 1164731485) is an individual nurse practitioner in Carson, California, licensed in California (NP 20204) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164731485
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLETICIA CAMANGEG ESTAVILLOCredential: NURSE PRACTITIONER
Location Address23517 S. MAIN ST. #103Carson, CA 90745-0000
Mailing Address23108 S Vermont AveTorrance, CA 90502-2933 · (310) 619-1851 · Fax (310) 952-0681
Phone(310) 834-5388
Sole ProprietorYes
Enumeration DateOctober 4, 2010
Last NPPES UpdateOctober 23, 2021
NPPES CertifiedOctober 23, 2021
✔ NPI 1164731485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP 20204
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leticia Camangeg Estavillo Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90745 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Estavillo's NPI number?

The NPI number for Leticia Estavillo is 1164731485. It was assigned to this individual provider in the NPPES registry on October 4, 2010.

Where is Leticia Estavillo located?

Leticia Estavillo practices at 23517 S. Main St. #103, Carson, CA 90745. The listed phone number is (310) 834-5388.

What is Leticia Estavillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Leticia Estavillo enrolled in Medicare?

Yes. Leticia Estavillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leticia Estavillo was last updated on October 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.