Guillermo Escalante, DSC, ATC,CSCS, CISSN

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

089802433 Issued in CA

Practice address

5500 University Pkwy
San Bernardino, CA 92407-2318

Phone

(909) 537-7236

NPI assigned

Aug 3, 2006

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

Locations

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

• Sportspros, Inc.

  • Physical Therapist
  • Claremont, CA
  • NPI 1043429384

  Physical Therapy Assistant

  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1609884246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072318",
            "telephone_number": "909-537-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072318",
            "telephone_number": "909-537-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "DSC, ATC,CSCS, CISSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "089802433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneliese Erebholo
• David G Erickson, OTR/L
• Kathleen Ertter
• Conciana Ervil, OTR/L
• Mariam Hanna Ervin, PA-C
• Stephanie Escarzaga
• Adamary Escatel Olivo
• Emely Escobar Ortiz
• Nora Escobar-Mandujano, M.S.
• Carlos Escobar, PT36298

• Athletic Trainer in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.