Individual provider Active NPI

Tina J. Escobedo, N.P.

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1952555732
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18618 Issued in CA
Practice address
8263 Grove Ave.
100
Rancho Cucamonga, CA 91730-3107
Phone
(909) 982-7741
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18618 CA Primary

Addresses

Primary practice location

8263 Grove Ave.
100
Rancho Cucamonga, CA 91730-3107

Mailing address

8263 Grove Ave.
100
Rancho Cucamonga, CA 91730-3107
Phone (909) 982-7741

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
I20130418000481 CA Practitioner - Nurse Practitioner 1456597301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Urgent Care Group, Inc CurrentSince Jan 17, 2015 Accepting new patients
Upland Rheumatology Center CurrentSince Nov 1, 2021 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Jan 17, 2015 Accepting new patients
John a Fagan MD Family Practice Inc Past Accepting new patients

Locations

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

886 W Foothill Blvd
Ste E
Upland, CA 91786
Phone (909) 932-1122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1952555732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8263 GROVE AVE.",
            "address_2": "100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303107",
            "telephone_number": "909-982-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 GROVE AVE.",
            "address_2": "100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303107",
            "telephone_number": "909-982-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "TINA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.