Active NPI
Rudolph Vincent Escalante
- Nursing Home Administrator
- Santa Cruz, CA
National Provider Identifier
1861901282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 200 7TH Avenue
Suite 150
Santa Cruz, CA 95062 - Phone
- (831) 462-1060
- Fax
- (831) 462-4970
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
200 7TH Avenue
Suite 150
Santa Cruz, CA 95062
Mailing address
200 7TH Avenue
Suite 150
Santa Cruz, CA 95062
Phone (831) 462-1060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4410 | Medicaid | CA | |
| 4496 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1861901282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 7TH AVENUE",
"address_2": "SUITE 150",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-462-1060",
"fax_number": "831-462-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 7TH AVENUE",
"address_2": "SUITE 150",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-462-1060",
"fax_number": "831-462-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCALANTE",
"first_name": "RUDOLPH",
"middle_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4410",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4496",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.