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MARK ESCUDERO
NPI 1235373549
Radiology - Pediatric Radiology in Roseville, CA

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
1600 EUREKA RD, DEPT OF RADIOLOGY, ROSEVILLE, CA 95661(858) 337-6226 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2021, May 24, 2017, Feb 21, 2017 (3 updates tracked since 2017).

About Mark Escudero NPPES

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

MARK ESCUDERO (NPI 1235373549) is an individual pediatric radiology provider in Roseville, California, licensed in California (A129633) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2009).

NPPES Registry Identity

NPI1235373549
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameMARK ESCUDERO
Location Address1600 EUREKA RD, DEPT OF RADIOLOGYRoseville, CA 95661-3027
Mailing Address938 Old Ranch House RdRocklin, CA 95765-6285 · (858) 337-6226
Phone(858) 337-6226
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2009
Enumeration DateApril 30, 2009
Last NPPES UpdateDecember 15, 20213 updates tracked since enumeration
✔ NPI 1235373549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in CA · A129633
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
1600 EUREKA RD, Roseville, CA 95661
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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

Mark Escudero 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 ID4880981430
PECOS Enrollment IDI20160924000497
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.

DR. VESNA IVANCIC COCHELL MD
Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
LYNN TUYET NGUYEN PHARM.D
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MR. BRYCE PHILLIP CARTWRIGHT PHYSICAL THERAPIST
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4954
QUAN T. NGUYEN MD
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
JAMES H. HEYKES MD
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MS. LINDA ROSE BROWN NP
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Placer County (916) 784-5003
SCOTT W. ADAMS MD
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
CAROL LYNN SCHULZ PHARM.D.
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4184

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 Mark Escudero's NPI number?

The NPI number for Mark Escudero is 1235373549. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Mark Escudero located?

Mark Escudero practices at 1600 Eureka Rd Dept Of Radiology, Roseville, CA 95661. The listed phone number is (858) 337-6226.

What is Mark Escudero's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Mark Escudero enrolled in Medicare?

Yes. Mark 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 Mark Escudero was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.