Healthcare Provider Details

I. General information

NPI: 1235946013
Provider Name (Legal Business Name): ONEIDA ESCOBAR CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2381 E OMAHA AVE
FRESNO CA
93720-0467
US

IV. Provider business mailing address

2381 E OMAHA AVE
FRESNO CA
93720-0467
US

V. Phone/Fax

Practice location:
  • Phone: 559-535-3112
  • Fax:
Mailing address:
  • Phone: 559-535-3112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: