Healthcare Provider Details

I. General information

NPI: 1508790767
Provider Name (Legal Business Name): MARIA SUSANA ESCUTIA-NEALY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 KLAMATH LN
YUBA CITY CA
95993-8961
US

IV. Provider business mailing address

970 KLAMATH LN
YUBA CITY CA
95993-8961
US

V. Phone/Fax

Practice location:
  • Phone: 530-434-9686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number184ACEC30
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: