Individual provider Active NPI

Maria Estela Escalona, M.D.

  • Obstetrics & Gynecology Physician
  • Lodi, CA
National Provider Identifier
1881869741
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A100986 Issued in CA
Practice address
999 S Fairmont Ave Ste 230
Lodi, CA 95240-5142
Phone
(209) 334-3343
Fax
(209) 334-1430
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.119748 IL
Obstetrics & Gynecology Physician 207V00000X A100986 CA Primary

Addresses

Primary practice location

999 S Fairmont Ave Ste 230
Lodi, CA 95240-5142

Mailing address

PO Box 1090
Lodi, CA 95241-1090
Phone (209) 334-1800

Other practice location 1

1617 N California St Ste 2B
Stockton, CA 95204-6117
Phone (209) 466-8546

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140617002329 CA Practitioner - Obstetrics/Gynecology 8921132861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P. Gill Obstetrics and Gynecology Medical Group, Inc.Group PAC ID 9133019755, 10 clinicians

Practice addresses (Care Compare)

999 S Fairmont Ave
Suite 230
Lodi, CA 95240-5142
Phone (209) 334-4924

Hospital & facility affiliations

  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100986CAMDObstetrics & Gynecology Physician
036.119748ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P. Gill Obstetrics & Gynecology Medical Group, Inc. Obstetrics & Gynecology CurrentSince Apr 12, 2014 Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
St. Joseph'S Hospital, Yonkers Past Accepting new patients

Locations

999 S Fairmont Ave
Ste 230
Lodi, CA 95240
Phone (209) 334-4924

1617 N California St
Ste 2B
Stockton, CA 95204
Phone (209) 466-8546

1617 N California St
Ste 2A
Stockton, CA 95204
Phone (209) 466-8546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1881869741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411090",
            "telephone_number": "209-334-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S FAIRMONT AVE STE 230",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405142",
            "telephone_number": "209-334-3343",
            "fax_number": "209-334-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 N California St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046117",
            "country_code": "US",
            "telephone_number": "209-466-8546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCALONA",
        "first_name": "MARIA",
        "middle_name": "ESTELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.119748",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A100986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.