Dr Kim Escudero, MD - Pediatrics in Mammoth Lakes, CA

Dr Kim Escudero, MD is a Pediatrics physician based in Mammoth Lakes, California. Dr Kim Escudero is licensed to practice in California (license number A61421) and her current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. She can be reached at her office (for appointments etc.) via phone at (760) 924-4000.

NPI number for Dr Kim Escudero is 1063568293 and her current mailing address is Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063568293.

Contact Information

Dr Kim Escudero, MD
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660
(760) 924-4000
(760) 924-4091

Map and Direction




Physician's Profile

Full NameDr Kim Escudero
GenderFemale
SpecialityPediatrics
Location85 Sierra Park Rd, Mammoth Lakes, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063568293
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 03/12/2013

Medical Identifiers

Medical identifiers for Dr Kim Escudero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063568293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A61421 (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. Dr Kim Escudero is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kim Escudero, MD
Po Box 660, 85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660

Ph: (760) 924-4000
Dr Kim Escudero, MD
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660

Ph: (760) 924-4000

Reviews and Comments


Pediatrics Doctors in Mammoth Lakes, CA

Grace Charmie Kim, MD, MPP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 85 Sierra Park Rd # A, Mammoth Lakes, CA 93546
Phone: 760-924-4000    
Dr. Richard Owen Johnson, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546
Phone: 760-924-4000    Fax: 760-924-4091
Sarah Ruberman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546
Phone: 760-942-4000    
Dr. Kristin Elizabeth Collins, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546
Phone: 630-212-6605    
Mary Bathen Bissell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 85 Sierra Park Road, Mammoth Lakes, CA 93546
Phone: 760-924-4012    
Louisa Salisbury, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546
Phone: 760-924-4000    

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