Jess Escobar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS104176 Issued in CA

Practice address

3772 Sonoma Blvd
Vallejo, CA 94589-2202

Phone

(707) 557-6680

NPI assigned

Sep 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Portia Maristela Escobar, DMD, PDC

  • General Practice Dentistry
  • Vallejo, CA
  • NPI 1699890350
  NPD (past)

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1346890092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 CAROLE RIDGE CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892202",
            "telephone_number": "707-557-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "JESS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epione Health Services LLC
• Epione Health Services LLC
• Robert Mark Epstein, MFT
• Donn R. Erickson, MD
• Grethel Joy Roa Escala, MSN, BSN, RN, FNP-C
• Portia Escobar, DMD
• Carolina Pasadilla Esguerra
• Fabiola Esparza
• Julio S Espinosa Jr., CRNA
• Juliette Milagros Espinoza

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.