Alexis Chavez Escobedo, DDS
Individual provider Active NPI Dentist · Spring Valley, CA
NPI 1972492890 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1972492890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 111867 (CA)
- Practice address
- 10767 Jamacha Blvd SPC 129
Spring Valley, CA 91978-1862 - Phone
- (619) 251-0335
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111867 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111867 | CA | Yes |
Addresses
Primary practice location
10767 Jamacha Blvd SPC 129
Spring Valley, CA 91978-1862
Mailing address
10767 Jamacha Blvd SPC 129
Spring Valley, CA 91978-1862
Phone (619) 251-0335
Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.