Individual provider Active NPI

Nicole Pardo, MD

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1083928212
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A122593 Issued in CA
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

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929001178 CA Practitioner - Psychiatry 0941518799 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A122593CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore a. Goodman MD Inc. Psychiatry CurrentSince Sep 3, 2025 Accepting new patients
Nicole Pardo, MD, Inc Psychiatry CurrentSince May 30, 2017 Accepting new patients
Marriage & Family Therapy for Peace of Mind Corporation PastSince Mar 12, 2023 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.

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

Verify at the official NPI Registry.