Individual provider Active NPI

Jason Anthony Escobar, ASW #96634

  • Social Worker
  • Sacramento, CA
National Provider Identifier
1174938096
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
96634 Issued in CA
Practice address
7273 14TH Ave Ste 120B
Sacramento, CA 95820-3500
Phone
(916) 383-6783
NPI assigned
Jun 30, 2014
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X 96634 CA Primary

Addresses

Primary practice location

7273 14TH Ave Ste 120B
Sacramento, CA 95820-3500

Mailing address

7273 14TH Ave Ste 120B
Sacramento, CA 95820-3500
Phone (916) 383-6783

Other practice location 1

9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101
Phone (916) 344-0199

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
96634CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1174938096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7273 14TH AVE STE 120B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203500",
            "telephone_number": "916-383-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 14TH AVE STE 120B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203500",
            "telephone_number": "916-383-6783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9412 Big Horn Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957581101",
            "country_code": "US",
            "telephone_number": "916-344-0199",
            "fax_number": "916-344-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "credential": "ASW #96634",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "96634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.