Individual provider Active NPI

Arnold Victor Escarcega, PA-C

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1124020706
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
17096 Issued in CA
Practice address
1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313
Phone
(559) 450-7200
Fax
(559) 450-7214
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 17096 CA Primary
Nurse Practitioner 363L00000X 14495 CA

Addresses

Primary practice location

1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313

Mailing address

1303 E Herndon Ave
Suite 431
Fresno, CA 93720-3309
Phone (559) 450-3889

Other identifiers 1

IdentifierTypeStateIssuer
0214821OtherCASTATE OF WASHINGTON

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061122000493 CA Practitioner - Physician Assistant 7416955604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14495CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LQMG Medical Group Inc. Current Accepting new patients
Saint Agnes Medical Providers Inc Nurse Practitioner Past Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

Interoperability endpoints

  • Direct secure messaging: arnold.escarcega.p1@direct.spocortho.nextgenshare.com
  • Direct secure messaging: aescarcega144709@direct.trinity-health.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1124020706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE",
            "address_2": "SUITE 431",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-450-3889",
            "fax_number": "559-450-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-450-7200",
            "fax_number": "559-450-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCARCEGA",
        "first_name": "ARNOLD",
        "middle_name": "VICTOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17096",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "14495",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON",
            "identifier": "0214821",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.