Mark Escudero

Individual provider Pediatric Radiology Physician · NPI 1235373549

Mark Escudero is a Diagnostic Radiology in Roseville, California. Graduated from New York University School of Medicine in 2009, 17 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying: 17
Trained at: New York University School of Medicine
Licensed in: CA
In the registry since: 2009

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Practice location Address checks out

1600 Eureka Rd Dept OF Radiology
Roseville, CA 95661-3027
Phone: (858) 337-6226

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Radiology Physician (primary)	Taxonomy 2085P0229X · Licence A129633 (CA)

Record details

NPI number	1235373549
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	April 30, 2009
Last updated in NPPES	December 15, 2021
Mailing address	938 Old Ranch House Rd, Rocklin, CA 95765-6285

Medicare enrollment

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

Medicare specialty	DIAGNOSTIC RADIOLOGY
Medical school	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated	2009 (17 years in practice)
Group practice	Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount