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Kim Escudero, M.D.
NPI 1063568293 · Pediatrics Physician · Mammoth Lakes, CA
Kim Escudero, M.D. is a Pediatrics Physician provider in Mammoth Lakes, CA (NPI 1063568293).
Provider details
- NPI number
- 1063568293
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A61421 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Phone: (760) 924-4000
Fax: (760) 924-4091
Street-level locationGet directions
Mailing address
Po Box 660
Mammoth Lakes, CA 93546-0660
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2013-03-12
Frequently asked questions
- What is Kim Escudero's NPI number?
- Kim Escudero's National Provider Identifier (NPI) is 1063568293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Escudero's specialty?
- Kim Escudero is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kim Escudero located?
- Kim Escudero's practice location on file with NPPES is 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660.
- What is Kim Escudero's phone number?
- The practice phone number listed in the NPPES registry for Kim Escudero is (760) 924-4000.
- Is Kim Escudero's NPI active?
- Yes — Kim Escudero's NPI (1063568293) is active in the NPPES registry as of the last update on 2013-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.