Healthcare Provider Details

I. General information

NPI: 1174485189
Provider Name (Legal Business Name): EDGAR E ESCOBEDO MARTINEZ RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7581 CHESTER DR
SALINAS CA
93907-8556
US

IV. Provider business mailing address

7581 CHESTER DR
SALINAS CA
93907-8556
US

V. Phone/Fax

Practice location:
  • Phone: 831-253-6778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95224339
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: