Individual provider Active NPI

Claver Pio Santos Escalante, DDS

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1265615637
Registry record updated Dec 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56539 Issued in CA
Practice address
15027 Mulberry Dr
Whittier, CA 90604-1528
Phone
(562) 906-8868
Fax
(562) 906-8878
NPI assigned
Dec 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56539 CA Primary

Addresses

Primary practice location

15027 Mulberry Dr
Whittier, CA 90604-1528

Mailing address

14050 Anola St
Whittier, CA 90604-1601
Phone (562) 325-1958

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127000766 CA Order and Referring Only - DentistPractitioner - Dentist 8628371598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56539CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: csantos18356@syhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197072000000",
    "number": "1265615637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 ANOLA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041601",
            "telephone_number": "562-325-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 MULBERRY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041528",
            "telephone_number": "562-906-8868",
            "fax_number": "562-906-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS ESCALANTE",
        "first_name": "CLAVER",
        "middle_name": "PIO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-08",
        "last_updated": "2007-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.