RAUL ESTRADA D.C., PA-C
NPI 1245406503
Chiropractor in San Diego, CA

Active since May 06, 2008PECOS Enrolled
1270 PICADOR BLVD STE B, SAN DIEGO, CA 92154(619) 428-2390 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raul Estrada D.c., Pa-c NPPES

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

RAUL ESTRADA D.C., PA-C (NPI 1245406503) is an individual chiropractor in San Diego, California, licensed in California (DC28479) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245406503
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRAUL ESTRADACredential: D.C., PA-C
Location Address1270 PICADOR BLVD STE BSan Diego, CA 92154-3565
Mailing Address1270 Picador Blvd Ste BSan Diego, CA 92154-3565 · (619) 428-2390
Sole ProprietorYes
Enumeration DateMay 6, 2008
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
NPI 1245406503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC28479
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA19724 (CA)
1270 PICADOR BLVD STE B, San Diego, CA 92154

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raul Estrada D.c., Pa-c 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.

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 Raul Estrada's NPI number?

The NPI number for Raul Estrada is 1245406503. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Raul Estrada located?

Raul Estrada practices at 1270 Picador Blvd Ste B, San Diego, CA 92154. The listed phone number is (619) 428-2390.

What is Raul Estrada's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Raul Estrada enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Raul Estrada was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.