Active NPI
John A Escandon
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1558507624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2414 N Broadway
#201
Los Angeles, CA 90031-2359 - Phone
- (323) 644-2000
- NPI assigned
- Dec 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2414 N Broadway
#201
Los Angeles, CA 90031-2359
Mailing address
833 Winthrop Drive.
Los Angeles, CA 90032
Phone (626) 417-6012
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1558507624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 WINTHROP DRIVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90032",
"telephone_number": "626-417-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 N BROADWAY",
"address_2": "#201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312359",
"telephone_number": "323-644-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCANDON",
"first_name": "JOHN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-19",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.