Estrella Family Care and Aesthetics LLC
NPI 1912666868ActiveOrganization· Nurse Practitioner, Family· Goodyear, AZ
Nurse Practitioner, Family in Goodyear, Arizona, registered in NPPES in December 2021. The authorized official on file is Sriram Subramanian, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912666868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2021 |
| Last updated in NPPES | Mar 14, 2022 |
| Certified by provider | Mar 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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