Individual provider Active NPI

Ryan Daniel Escudero, D.M.D

  • General Practice Dentistry
  • Los Alamitos, CA
National Provider Identifier
1225231996
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59256 Issued in CA
Practice address
3532 Howard Ave Ste 100
Los Alamitos, CA 90720-3681
Phone
(562) 795-7777
NPI assigned
Jun 8, 2007
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0524411 NY
General Practice Dentistry 1223G0001X 22276 MA
General Practice Dentistry 1223G0001X 59256 CA Primary

Addresses

Primary practice location

3532 Howard Ave Ste 100
Los Alamitos, CA 90720-3681

Mailing address

3532 Howard Ave Ste 100
Los Alamitos, CA 90720-3681
Phone (562) 795-7777

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
59256CAMDGeneral Practice Dentistry
0524411NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Escudero DMD Inc CurrentSince Feb 9, 2025 Accepting new patients

Locations

3532 Howard Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 430-0887

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1225231996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 HOWARD AVE STE 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203681",
            "telephone_number": "562-795-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 HOWARD AVE STE 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203681",
            "telephone_number": "562-795-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUDERO",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0524411",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22276",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.