Carlo Raphael Fulgencio Escudero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5575 Ruffin Rd Ste 100
San Diego, CA 92123-1361

Phone

(858) 277-2744

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of California a Medical CorporationGroup PAC ID 5799854303, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment Care Compare group
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • South San Francisco, CA
  • NPI 1396294682
  NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1053918011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 RUFFIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 RUFFIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231361",
            "telephone_number": "858-277-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUDERO",
        "first_name": "CARLO RAPHAEL",
        "middle_name": "FULGENCIO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xanath Escobedo
• Fabian Martinez Escorza, CMT
• Alexa Escoto
• Carolina Moreno Escoto, LPT
• Tyler G Escoto
• Pamela Milagros Escudero, OT
• Ronnie Jay Escudero, P.A.-C
• Christiana Lauren Eseller, COTA/L
• Dasia E Esener, MD
• Ali Esfandiari, PH.D.

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.