Provider Demographics
NPI:1407747512
Name:ESCARENO, JOEL ALEJANDRO
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:ALEJANDRO
Last Name:ESCARENO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1732
Mailing Address - Country:US
Mailing Address - Phone:559-361-5546
Mailing Address - Fax:
Practice Address - Street 1:333 W HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-1732
Practice Address - Country:US
Practice Address - Phone:559-361-5546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist