Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlo Raphael Fulgencio Escudero, PA-C

Individual provider Physician Assistant · NPI 1053918011

Carlo Raphael Fulgencio Escudero, PA-C is a Physician Assistant in San Diego, California. Qualified in 2020, 6 years ago. Practices with American Current Care of California a Medical Corporation, a 140-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5575 Ruffin Rd Ste 100
San Diego, CA 92123-1361
Phone: (858) 277-2744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053918011
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 2, 2020
Last updated in NPPESDecember 14, 2021
Certification dateDecember 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice American Current Care Of California A Medical Corporation — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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