MR. EDWARD PAUL ESTRADA PAC
NPI 1235190299
Physician Assistant in Montebello, CA

Active since March 30, 2006PECOS Enrolled
2205 W. BEVERLY BOULEVARD, MONTEBELLO, CA 90640(323) 728-0321(323) 728-1788 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Edward Paul Estrada Pac NPPES

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

MR. EDWARD PAUL ESTRADA PAC (NPI 1235190299) is an individual physician assistant in Montebello, California, licensed in California (PA10896) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235190299
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. EDWARD PAUL ESTRADACredential: PAC
Location Address2205 W. BEVERLY BOULEVARDMontebello, CA 90640
Mailing Address2205 W. Beverly BoulevardMontebello, CA 90640 · (323) 728-0321 · Fax (323) 728-1788
Fax(323) 728-1788
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateOctober 13, 2014
NPI 1235190299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA10896
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2205 W. BEVERLY BOULEVARD, Montebello, CA 90640

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Edward Paul Estrada Pac 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 90640 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier18 claims18 services$174.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Edward Estrada's NPI number?

The NPI number for Edward Estrada is 1235190299. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Edward Estrada located?

Edward Estrada practices at 2205 W. Beverly Boulevard, Montebello, CA 90640. The listed phone number is (323) 728-0321.

What is Edward Estrada's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edward Estrada enrolled in Medicare?

Yes. Edward Estrada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Estrada was last updated on October 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.