Individual provider Active NPI

Fabian Esqueda, P.A-C

  • Physician Assistant
  • Norwalk, CA
National Provider Identifier
1902059629
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15997 Issued in CA
Practice address
13307 San Antonio Dr
Norwalk, CA 90650-2970
Phone
(562) 863-0124
Fax
(562) 868-6795
NPI assigned
Oct 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15997 CA Primary

Addresses

Primary practice location

13307 San Antonio Dr
Norwalk, CA 90650-2970

Mailing address

13307 San Antonio Dr
Norwalk, CA 90650-2970
Phone (562) 863-0124

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204002550 CA Practitioner - Physician Assistant 7214252659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12214 Lakewood Blvd
Suite 110
Downey, CA 90242-2663
Phone (562) 904-4430

1400 S Harbor Blvd
La Habra, CA 90631-7577
Phone (714) 879-3400

2205 W Beverly Blvd
Montebello, CA 90640-2301
Phone (323) 728-0321

Hospital & facility affiliations

  • Valley Home Health Care Agency, Inc Home health agency, Tarzana, CA, CCN 059049
  • Los Angeles General Medical Center Hospital, Los Angeles, CA, CCN 050373

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15997CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Nov 10, 2019 Accepting new patients
Pih Health Physicians CurrentSince Nov 10, 2019 Accepting new patients

Locations

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

Organizations & group practices 3

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": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1902059629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502970",
            "telephone_number": "562-863-0124",
            "fax_number": "562-868-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502970",
            "telephone_number": "562-863-0124",
            "fax_number": "562-868-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUEDA",
        "first_name": "FABIAN",
        "name_prefix": "Mr.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.