Manuel Antonio Escalante Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0701102091 Issued in CA

Practice address

3036 Winfield Ave
La Verne, CA 91750-3696

Phone

(909) 241-4032

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1992952196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 WINFIELD AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503696",
            "telephone_number": "909-241-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 WINFIELD AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503696",
            "telephone_number": "909-241-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "0701102091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Yoshio Endo, M.D.
• Tiffany P. Le Endo, D.O.
• Joanna Rachel Engel, ATC
• Entech Medical Corporation
• Eon Resources Corp
• Marissa Selina Esquibel
• Melanie Estrada
• Andrew Eusebio Jr.
• Lauren Marie Evans, LMFT
• Stafford O'Brian Evans

• Athletic Trainer in La Verne, CA
• Providers in La Verne, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.