ALEXANDER ESCOBAR PA
NPI 1912777418
Physician Assistant - Surgical in San Rafael, CA

Active since January 05, 2024PECOS Enrolled
4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903(415) 925-8963 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Nov 25, 2025, Jul 23, 2024 and 1 more (4 updates tracked since 2024).

About Alexander Escobar Pa NPPES

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

ALEXANDER ESCOBAR PA (NPI 1912777418) is an individual surgical provider in San Rafael, California, licensed in California (64166) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912777418
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameALEXANDER ESCOBARCredential: PA
Location Address4000 CIVIC CENTER DR STE 209San Rafael, CA 94903-5233
Mailing Address4000 Civic Center Dr Ste 209San Rafael, CA 94903-5233 · (559) 443-2682 · Fax (559) 443-2681
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 5, 2024
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1912777418 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 · 64166
4000 CIVIC CENTER DR STE 209, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexander Escobar Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436695400
PECOS Enrollment IDI20240725004322
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 9

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

Orthopaedic Surgery
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Surgical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Podiatrist
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Surgery (Plastic and Reconstructive Surgery)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Medical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Podiatrist (Foot & Ankle Surgery)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Surgical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903

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 Alexander Escobar's NPI number?

The NPI number for Alexander Escobar is 1912777418. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Alexander Escobar located?

Alexander Escobar practices at 4000 Civic Center Dr Ste 209, San Rafael, CA 94903. The listed phone number is (415) 925-8963.

What is Alexander Escobar's specialty?

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

Is Alexander Escobar enrolled in Medicare?

Yes. Alexander Escobar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Escobar was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.