Active NPI
Nicole Pardo, MD
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1083928212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A122593
- Practice address
- 7700 Folsom Blvd
Sacramento, CA 95826 - Phone
- (916) 407-4497
- Fax
- (916) 588-4780
- NPI assigned
- Jul 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A122593 | CA | Primary |
Addresses
Primary practice location
7700 Folsom Blvd
Sacramento, CA 95826
Mailing address
PO Box 19931
Sacramento, CA 95819-0931
Phone (916) 407-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1341 Burnett Way
Sacramento, CA 95818-2221
Phone (916) 407-4497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122593 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theodore a. Goodman MD Inc. | Psychiatry | Current | Accepting new patients |
| Nicole Pardo, MD, Inc | Psychiatry | Current | Accepting new patients |
| Marriage & Family Therapy for Peace of Mind Corporation | Past | Accepting new patients | |
| Restoring Family Harmony | Past | Accepting new patients |
Locations
1341 Burnett Way
Sacramento, CA 95818
Phone (916) 407-4497
7700 Folsom Blvd
Sacramento, CA 95826
Phone (916) 386-3000
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1861920241
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1174618748
-
- Marriage & Family Therapist
- Sacramento, CA
- NPI 1316647480
-
- Clinical Psychologist
- Sacramento, CA
- NPI 1073828273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1083928212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19931",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958190931",
"telephone_number": "916-407-4497",
"fax_number": "916-588-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FOLSOM BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95826",
"telephone_number": "916-407-4497",
"fax_number": "916-588-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A122593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.