Healthcare Provider Details

I. General information

NPI: 1053067652
Provider Name (Legal Business Name): DENISE ESCARIESES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 BORDER AVE
TORRANCE CA
90501-3606
US

IV. Provider business mailing address

4365 PAREDES LINE RD APT 315
BROWNSVILLE TX
78526-1424
US

V. Phone/Fax

Practice location:
  • Phone: 844-443-6246
  • Fax: 833-907-2235
Mailing address:
  • Phone: 956-606-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: