Individual provider Active NPI

Tony Escalona Vasquez, M.D.,PH.D.

  • Specialist
  • Yreka, CA
National Provider Identifier
1477524197
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G52980 Issued in CA
Practice address
1519 S Oregon St
Yreka, CA 96097-3425
Phone
(530) 530-1980
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G52980 CA Primary

Addresses

Primary practice location

1519 S Oregon St
Yreka, CA 96097-3425

Mailing address

1950 Court St
Redding, CA 96001-1823
Phone (530) 225-8008

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000384 CA Practitioner - Nuclear MedicinePractitioner - General Practice 5395824643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: General Practice
Education
University of California, Irvine, California College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karuk TribeGroup PAC ID 4688668387, 11 clinicians

Practice addresses (Care Compare)

1519 S Oregon St
Yreka, CA 96097-3425
Phone 53084292006126

Hospital & facility affiliations

  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
G52980CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Karuk Tribe Current Accepting new patients
Karuk Tribe Past Accepting new patients
Nuclear Medicine Associates Past Accepting new patients

Locations

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1477524197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011823",
            "telephone_number": "530-225-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-530-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "TONY",
        "middle_name": "ESCALONA",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.