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DR. KIM ESCUDERO M.D.
NPI 1063568293
Pediatrics in Mammoth Lakes, CA

Active since January 29, 2007
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 924-4000(760) 924-4091 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kim Escudero M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM ESCUDERO M.D. (NPI 1063568293) is an individual pediatrics provider in Mammoth Lakes, California, licensed in California (A61421) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063568293
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIM ESCUDEROCredential: M.D.
Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-0660
Mailing AddressPo Box 660, 85 Sierra Park RdMammoth Lakes, CA 93546-0660 · (760) 924-4000 · Fax (760) 924-4091
Phone(760) 924-4000
Fax(760) 924-4091
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMarch 12, 2013
✔ NPI 1063568293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A61421
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
85 SIERRA PARK RD, Mammoth Lakes, CA 93546
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS LEE MENESES RN
Registered Nurse (Registered Nurse First Assistant)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4075
DR. JONATHAN BOURNE M.D.
Anesthesiology
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4078
ERIKO SUZUKI R.N., M.S., N.P.
Nurse Practitioner (Family)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-2551
JENNIFER WATSON RN
Registered Nurse
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
RENEE ELIZABETH HARTSMAN FNP
Registered Nurse
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
SOUTHERN MONO HEALTH CARE DISTRICT
General Acute Care Hospital (Rural)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
KYLE ANTHONY MINKEL
Orthopaedic Surgery
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
GILLIAN MCCHESNEY PHYSICAL THERAPIST
Physical Therapist (Orthopedic)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-7302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Escudero's NPI number?

The NPI number for Kim Escudero is 1063568293. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Kim Escudero located?

Kim Escudero practices at 85 Sierra Park Rd, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-4000.

What is Kim Escudero's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kim Escudero was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.