Active NPI
Jessica Paredes, RD
- Metabolic Nutrition Registered Dietitian
- San Jose, CA
National Provider Identifier
1043623168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- RD 1067177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RD 1067177 | CA | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karuk Tribe | Current | Accepting new patients | |
| Telehealth Specialty Medical Group | Current | Accepting new patients | |
| Karuk Tribe | Current | Accepting new patients | |
| Tele-Medicine Services Ny, PLLC | Past | 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
- 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.
-
- General Practice Physician
- Yreka, CA
- NPI 1730279423
-
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
-
- Family Medicine Physician
- Orleans, CA
- NPI 1386726032
-
- Registered Dietitian
- San Jose, CA
- NPI 1902132806
Nutrition, Metabolic
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
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.