MR. RONNIE JAY ESCUDERO P.A.-C
NPI 1235188145
Physician Assistant - Surgical in San Diego, CA

Q: What is Ronnie Escudero's NPI number?

The NPI number for Ronnie Escudero is 1235188145. It was assigned to this individual provider in the NPPES registry on May 8, 2006. The provider is also known as Ron Escudero P.A.-C.

Q: What is Ronnie Escudero's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Ronnie Escudero was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment

4647 ZION AVE, KAISER PERMANENTE; DEPARTMENT OF ORTHOPEDIC SURGERY, SAN DIEGO, CA 92120(866) 459-2912 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Ronnie Jay Escudero P.a.-c NPPES

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

MR. RONNIE JAY ESCUDERO P.A.-C (NPI 1235188145) is an individual surgical provider in San Diego, California, licensed in California (PA17099) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1235188145

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. RONNIE JAY ESCUDEROCredential: P.A.-C

Location Address4647 ZION AVE, KAISER PERMANENTE; DEPARTMENT OF ORTHOPEDIC SURGERYSan Diego, CA 92120-2507

Mailing Address4647 Zion Ave, Kaiser Permanente; Department Of Orthopedic SurgerySan Diego, CA 92120-2507 · (866) 459-2912

Phone(866) 459-2912

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 8, 2006

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1235188145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA17099

4647 ZION AVE, San Diego, CA 92120

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Other Names 1

Professional Name (2)Ron Escudero P.a.-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronnie Jay Escudero P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183675481

PECOS Enrollment IDI20050203000599

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ANN MARIE PENA MD

Obstetrics & Gynecology

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

DR. SHWETA WARNER M.D.

Internal Medicine (Infectious Disease)

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (619) 221-6258

DR. MATTHEW JAMES ROOSEVELT M.D.

Internal Medicine

4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120

San Diego County (619) 952-5091

RICHARD FUNG

Pharmacist

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (626) 278-2749

ARDIS L TASCHNER CRNA

Nurse Anesthetist, Certified Registered

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

JEANNE HAGER DONAHUE LCSW

Social Worker (Clinical)

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5323

DAVID M. LEVINE MD

Internal Medicine (Pulmonary Disease)

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

DALE K. LIEU MD

Internal Medicine (Infectious Disease)

4647 ZION AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

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 Ronnie Escudero's NPI number?

The NPI number for Ronnie Escudero is 1235188145. It was assigned to this individual provider in the NPPES registry on May 8, 2006. The provider is also known as Ron Escudero P.A.-C.

Where is Ronnie Escudero located?

Ronnie Escudero practices at 4647 Zion Ave Kaiser Permanente; Department Of Orthopedic Surgery, San Diego, CA 92120. The listed phone number is (866) 459-2912.

What is Ronnie Escudero's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ronnie Escudero enrolled in Medicare?

Yes. Ronnie Escudero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ronnie Escudero was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.