Healthcare Provider Details

I. General information

NPI: 1538094149
Provider Name (Legal Business Name): FELICIA ESTRADA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FELICIA DEFRATES

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 13TH ST
MERCED CA
95341-6211
US

IV. Provider business mailing address

7165 BARBERA AVE
WINTON CA
95388-9330
US

V. Phone/Fax

Practice location:
  • Phone: 209-385-7311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: