Individual provider Active NPI

Jessica Paredes, RD

  • Metabolic Nutrition Registered Dietitian
  • San Jose, CA
National Provider Identifier
1043623168
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
RD 1067177 Issued in CA
Practice address
2211 Moorpark Ave Ste 218
San Jose, CA 95128-2629
Phone
(408) 998-2325
Fax
(408) 998-2022
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X RD 1067177 CA Primary

Addresses

Primary practice location

2211 Moorpark Ave Ste 218
San Jose, CA 95128-2629

Mailing address

2211 Moorpark Ave Ste 218
San Jose, CA 95128-2629
Phone (408) 998-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109000291 CA Practitioner - Registered Dietitian Or Nutrition Professional 3274968821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RD 1067177CAMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Karuk Tribe CurrentSince Jan 26, 2021 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Nov 26, 2019 Accepting new patients
Karuk Tribe CurrentSince Jan 26, 2021 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Bay Area Community Diabetes Educators LLC Nutrition, Metabolic Past Accepting new patients

Locations

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Interoperability endpoints

  • Direct secure messaging: telemed2u.jessicaparedes@160918.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1043623168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE STE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282629",
            "telephone_number": "408-998-2325",
            "fax_number": "408-998-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE STE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282629",
            "telephone_number": "408-998-2325",
            "fax_number": "408-998-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "JESSICA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "RD 1067177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.