Fides P Escobal, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20805 Issued in CA

Practice address

17264 Foothill Blvd Ste Ab
Fontana, CA 92335-9050

Phone

(909) 428-3900

Fax

(909) 428-3903

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Fides P Escobal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Neonatology Medical Group, Inc.

  dba Fontana Family Medical Center

  • Legal Medicine
  • Fontana, CA
  • NPI 1952351074
  Authorized official Same address or phone
• Neonatology Medical Group Inc

  dba Fontana Family Medical Center

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1851404693
  NPD (past)

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1063793065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8188",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923751388",
            "telephone_number": "909-790-5071",
            "fax_number": "909-790-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17264 FOOTHILL BLVD STE AB",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359050",
            "telephone_number": "909-428-3900",
            "fax_number": "909-428-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAL",
        "first_name": "FIDES",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIDES",
            "last_name": "ESCOBAL",
            "middle_name": "P",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thawat Eosakul, M.D.
• Nahan Erfan, O.D.
• Mark Paul Erskine, P.T.
• Megan Ervin
• Eric Escalante
• Cesar Agusto Escobar, MBA
• John Anthony Escobar Jr., RRT, SDS
• Marcos Omar Escobar, MD
• Alireza B. Esfahane, MD
• Pooneh Esfahani, DO

• Family Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.