Raul Enrique Escalante, D.D.S.,M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38239 Issued in CA

Practice address

838 Nordahl Rd
Suite 260
San Marcos, CA 92069-3595

Phone

(760) 743-1161

Fax

(760) 743-3367

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1457414674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD",
            "address_2": "SUITE 260",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693595",
            "telephone_number": "760-743-1161",
            "fax_number": "760-743-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD",
            "address_2": "SUITE 260",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693595",
            "telephone_number": "760-743-1161",
            "fax_number": "760-743-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "RAUL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Corner Marriage and Family Therapy, Inc.
• Tammy Faith Encinas Gardner
• Briana Delgado Enciso
• Kristen Engler
• Deborah Nicole Eonta, LVN
• Jorge Omar Escamilla Avina
• Daysi U Escamilla Gabriel
• Melany Escobar Ruiz
• Marylene Escobar
• Ruben Escobar, PPS

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, 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 Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.