| Estra Healthcare Services Llc | |
|
1330 Karen Ave Las Vegas NV 89169-1260 | |
| (725) 502-7699 | |
| Not Available |
| Full Name | Estra Healthcare Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1330 Karen Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Ma Victoria Escarda (OWNER/CLINICIAN) |
| Authorized Official Contact | 3233386101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estra Healthcare Services Llc 8612 Copper Knoll Ave Las Vegas NV 89129-7649 Ph: (323) 338-6101 | Estra Healthcare Services Llc 1330 Karen Ave Las Vegas NV 89169-1260 Ph: (725) 502-7699 |
| NPI Number | 1215698675 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 5698151389 |
|---|---|
| Medicare Enrollment ID | O20221004001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215698675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tristan Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962803635 PECOS PAC ID: 5890917355 Enrollment ID: I20141118000569 |
| Provider Name | Ma Victoria Escarda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962883553 PECOS PAC ID: 6800100678 Enrollment ID: I20150806012717 |
| Provider Name | Charlene Jo Nardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477249761 PECOS PAC ID: 6608222518 Enrollment ID: I20231030001562 |
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