Mark Escajeda, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G76960 Issued in CA

Practice address

747 52ND St
Department of Anesthesiology
Oakland, CA 94609-1809

Phone

(510) 428-3070

Fax

(510) 450-5853

NPI assigned

Apr 21, 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Childrens Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Oakland, CA
  • NPI 1265496756
  Medicare reassignment NPD

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1619933371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45731",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450731",
            "telephone_number": "800-585-0868",
            "fax_number": "858-244-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3070",
            "fax_number": "510-450-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAJEDA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G76960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G769600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kaul Ernest, ASW
• Ernie S. Lavorini, DDS, Inc
• Christine Marie Ernst, MSPT
• Kavita V. Ernst, MD
• Keri Elizabeth Zug Ernst, MSN
• Jessica Escalante
• Carina Escaname
• Justine Escarcega
• Yvonne Diane Escarsega, MSW
• Elsa Pong Esch

• Anesthesiology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.