Healthcare Provider Details
I. General information
NPI: 1063326569
Provider Name (Legal Business Name): ERIKA TANYA ESTOQUE RRT NPS AEC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1120 W LA VETA AVE
ORANGE CA
92868-4231
US
IV. Provider business mailing address
11352 MAGNOLIA ST
CORONA CA
92883-3080
US
V. Phone/Fax
- Phone: 714-905-4289
- Fax:
- Phone: 909-589-4541
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 227800000X |
| Taxonomy | Certified Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278C0205X |
| Taxonomy | Critical Care Certified Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278E0002X |
| Taxonomy | Emergency Care Certified Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278P3900X |
| Taxonomy | Neonatal/Pediatric Certified Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 227900000X |
| Taxonomy | Registered Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279C0205X |
| Taxonomy | Critical Care Registered Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279E0002X |
| Taxonomy | Emergency Care Registered Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279P3900X |
| Taxonomy | Neonatal/Pediatric Registered Respiratory Therapist |
| License Number | 33328 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: