MEDICARE: DR. TONY ESCALONA VASQUEZ M.D.,PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G52980	CA

General Provider Information

NPI Number	:	1477524197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY ESCALONA VASQUEZ M.D.,PH.D.

Provider Business Mailing Address
First Line	:	1950 COURT ST
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-1823
Country	:	US
Telephone Number	:	530-225-8008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1519 S OREGON ST
Second Line	:
City	:	YREKA
State	:	CA
Zip	:	96097-3425
Country	:	US
Telephone Number	:	530-530-1980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	05/13/2025

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