Benjamin Escalante Abarca III, LVN
Individual provider Active NPI Licensed Vocational Nurse · Orange, CA
NPI 1992539779 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1992539779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 713486 (CA)
- Practice address
- 401 S Tustin St BLDG D
Orange, CA 92866-2550 - Phone
- (714) 289-3936
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- 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 |
|---|---|---|---|
| 713486 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 713486 | CA | Yes |
Addresses
Primary practice location
401 S Tustin St BLDG D
Orange, CA 92866-2550
Mailing address
401 S Tustin St BLDG D
Orange, CA 92866-2550
Phone (714) 289-3936
Other providers in Orange, CA
- Meara Michi Abad
- Avisa Abaian- Eagar
- Carolyn Ann Cailo Abalon
- Michael Akande Abanise
- Edward Abarado
- Keanu Abassi
- Joshua Aviado Abata
- Sarah L Abbamonto
- Lauren Abbas
- Mohammed Abbas
All providers in Orange, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. 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.