Edwin Nathan Estrada, is a
Licensed Practical Nurse based in Wilmington, California. Edwin Nathan Estrada is licensed to practice in California (license number 43416) and his current practice location is
909 N Avalon Blvd, Wilmington, California. He can be reached at his office (for appointments etc.) via phone at
(310) 513-1300.
NPI number for Edwin Nathan Estrada is 1407768203 and his current mailing address is 909 N Avalon Blvd, Wilmington, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407768203.
Provider's Profile
| Full Name | Edwin Nathan Estrada |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 909 N Avalon Blvd, Wilmington, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407768203
- Provider Enumeration Date: 09/18/2026
- Last Update Date: 09/18/2026
Medical Identifiers
Medical identifiers for Edwin Nathan Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407768203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 43416 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edwin Nathan Estrada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Edwin Nathan Estrada, 909 N Avalon Blvd, Wilmington, CA 90744-4503 Ph: (310) 513-1300 | Edwin Nathan Estrada, 909 N Avalon Blvd, Wilmington, CA 90744-4503 Ph: (310) 513-1300 |
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