Search › California › 104100000X
Ketzia Escudero
NPI 1053930396 · on the registry since 2020
Practice
- Address
- 801 Empire St
Fairfield, CA 94533 - Phone
- (707) 425-5744
- Fax
- (707) 425-5162
- Organisation at this address
- Child Haven Inc
Child Haven, Inc.
Victor Community Support Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Additional practice sites
- 3480 Buskirk Ave Ste 210, Pleasant Hill, CA
- 205 39th St, Richmond, CA
- 2325 Clement Ave Ste A, Alameda, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 390200000X
101YM0800X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California