1881156479 NPI number — JOSE DE JESUS ESCALERA RODRIGUEZ

Table of content: JOSE DE JESUS ESCALERA RODRIGUEZ (NPI 1881156479)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881156479 NPI number — JOSE DE JESUS ESCALERA RODRIGUEZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESCALERA RODRIGUEZ
Provider First Name:
JOSE DE
Provider Middle Name:
JESUS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881156479
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2351 18TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN PABLO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94806-3558
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3109 ANDRADE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94804-1109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-859-8731
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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