Healthcare Provider Details

I. General information

NPI: 1851951404
Provider Name (Legal Business Name): CARLOS ESCOBAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N DOUTY ST
HANFORD CA
93230-3951
US

IV. Provider business mailing address

428 ASHLEY ST
FARMERSVILLE CA
93223-3017
US

V. Phone/Fax

Practice location:
  • Phone: 559-583-9300
  • Fax:
Mailing address:
  • Phone: 559-737-2995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: