Physician Compare National (NPI:1073809893)

HEALTHCARE PROVIDER: PEDRO ARCENIO ESCOBAR PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073809893
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123258431
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161011002448
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ESCOBAR
	Individual professional last name
Provider First Name	PEDRO
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	555 6TH ST
	Group Practice or individual's line 1 address
City	ORANGE COVE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	936462136
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050192
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTH REEDLEY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y