Vivian Escamilla

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

190081GN Issued in CA

Practice address

453 S Indiana St
Los Angeles, CA 90063-3908

Phone

(323) 266-7725

NPI assigned

Sep 4, 2014

Sex

Female

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: vivianescamilla-socialmodel@lacsapc.netsmartdirect.net

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.

• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD
• Social Model Recovery Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1124306386
  NPD (past)
• Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1497834089
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1801297254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S CORAL AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203619",
            "telephone_number": "323-266-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S INDIANA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633908",
            "telephone_number": "323-266-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "190081GN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisselle Margarita Escamilla
• Joseph Escamilla
• Luis A Escamilla
• Pablo Escamilla
• Sandra Escamilla, LCSW
• John A Escandon
• Louis Escandon, MD
• Marion Jeanette Escandon
• Rebecca Escandon
• Mary Eileen Walsh Escarce, PH.D.

• Children's Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.