Jeff Andres Escuadro, RN, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN#506378 Issued in CA

Practice address

16111 Plummer St
Mail Code 112
North Hills, CA 91343-2036

Phone

(818) 891-7711

Fax

(818) 895-9535

NPI assigned

Aug 30, 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720197973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N DILLON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264619",
            "telephone_number": "213-384-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST",
            "address_2": "MAIL CODE 112",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-891-7711",
            "fax_number": "818-895-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUADRO",
        "first_name": "JEFF",
        "middle_name": "ANDRES",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "RN#506378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE AND NP#10129",
            "identifier": "RN#506378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Engle-Taylor, PHD
• Iyobosa Favor Erhabor
• Alexander John Erickson, PH.D.
• Arto H Ersan, DDS
• Bianca Janet Escobedo
• Julia Diane Esfandi, DDS
• Eshagh Ezra M.D., Inc.
• Carolyn Espejo
• Geysell Juniet Estrada
• Oscar Armando Estrada, NURSE PRACTITIONER

• Gerontology Nurse Practitioner in North Hills, CA
• Providers in North Hills, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.