Individual provider Active NPI

Tanya Lee Escobedo, N.D

  • Naturopath
  • Redwood City, CA
National Provider Identifier
1174860316
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-562 Issued in CA
Practice address
61 Renato CT
Redwood City, CA 94061-4093
Phone
(650) 271-9453
Fax
(702) 819-7008
NPI assigned
Jan 8, 2013
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-562 CA Primary
Family Medicine Physician 207Q00000X ND 562 CA

Addresses

Primary practice location

61 Renato CT
Redwood City, CA 94061-4093

Mailing address

61 Renato CT
Redwood City, CA 94061-4093
Phone (650) 271-9453

Other identifiers 1

IdentifierTypeStateIssuer
NDF562OtherCADRUG FURNISHING

Other names 1

  • Tanya Lee Pooler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND-562CAMDNaturopath
ND 562CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1174860316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 RENATO CT",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614093",
            "telephone_number": "650-271-9453",
            "fax_number": "702-819-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 RENATO CT",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614093",
            "telephone_number": "650-271-9453",
            "fax_number": "702-819-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "TANYA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "N.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-562",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "ND 562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG FURNISHING",
            "identifier": "NDF562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "POOLER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.