Mr Salvador Escudero Moya, PA is a medicare enrolled "Physician Assistant - Medical" in San Joaquin, California. His current practice location is
21890 Colorado Ave., San Joaquin, California. You can reach out to his office (for appointments etc.) via phone at
(559) 693-2462.
Mr Salvador Escudero Moya is licensed to practice in California (license number PA13058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841328507.
Provider's Profile
Full Name | Mr Salvador Escudero Moya |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 21890 Colorado Ave., San Joaquin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841328507
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608839071
- Enrollment ID: I20130614000071
Medical Identifiers
Medical identifiers for Mr Salvador Escudero Moya such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841328507 | NPI | - | NPPES |
FHC03875F | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA13058 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Salvador Escudero Moya is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Salvador Escudero Moya, PA Po Box 737, San Joaquin, CA 93660-0737 Ph: (559) 693-2462 | Mr Salvador Escudero Moya, PA 21890 Colorado Ave., San Joaquin, CA 93660 Ph: (559) 693-2462 |
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