Healthcare Provider Details

I. General information

NPI: 1497326565
Provider Name (Legal Business Name): JESUS ANGEL ESCALANTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HENRY ADAMS ST UNIT N505
SAN FRANCISCO CA
94103-5238
US

IV. Provider business mailing address

1 HENRY ADAMS ST UNIT N505
SAN FRANCISCO CA
94103-5238
US

V. Phone/Fax

Practice location:
  • Phone: 714-787-8577
  • Fax:
Mailing address:
  • Phone: 714-787-8577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number135550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: