Active NPI
Tanya Lee Escobedo, N.D
- Naturopath
- Redwood City, CA
National Provider Identifier
1174860316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-562
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NDF562 | Other | CA | DRUG FURNISHING |
Other names 1
- Tanya Lee Pooler
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND-562 | CA | MD | Naturopath |
| ND 562 | CA | MD | Family 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.