Shawna Renee Escobar, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A105744 Issued in CA

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone

(619) 532-8670

NPI assigned

May 21, 2007

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

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

Specialty

Diagnostic Radiology

Education

Georgetown University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians

Turlock Imaging Services, LLCGroup PAC ID 3678850922, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

84.14

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.

• Modesto Radiological Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992747547

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Turlock Imaging Services, LLC

  • Radiology Clinic/Center
  • Turlock, CA
  • NPI 1295279859

  CA

  Medicare reassignment Care Compare group NPD
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Tracy, CA
  • NPI 1134670656
  Care Compare group
• Modesto Radiology Imaging, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1588954929

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1396087672

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1831307883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ADMIRAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233103",
            "telephone_number": "862-812-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "SHAWNA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A105744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joanna Escobar
• Jonathan Quinn Escobar, DO
• Juan Francisco Escobar Jr., IDC
• Katya Vanessa Escobar
• Mikaela Carrillo Escobar, LCSW
• Trevor Alexander Escobedo Corn, M.A.
• Carolina Escobedo Sanchez
• Adilene Escobedo
• Alicia Escobedo
• Angel de Luna Escobedo

• All providers in San Diego, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.