Individual provider Active NPI

Mary K Paradis

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1083967269
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22098 Issued in CA
Practice address
420 34TH St
Bakersfield, CA 93301-2237
Phone
(661) 327-4647
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22098 CA Primary
Family Nurse Practitioner 363LF0000X AP06911 LA

Addresses

Primary practice location

420 34TH St
Bakersfield, CA 93301-2237

Mailing address

420 34TH St
Bakersfield, CA 93301-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130110000335 CA Practitioner - Nurse Practitioner 5092968610 Reassigns benefits to 2 organizations
I20260427003433 OR Practitioner - Nurse Practitioner 5092968610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11814 Grecian Laurel Dr
Bakersfield, CA 93311-9338

21990 Hillside Dr
Palo Cedro, CA 96073-8637

2304 Felton LN
Redondo Beach, CA 90278-2604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Sinu-Clear Inc CurrentSince Dec 3, 2025 Accepting new patients
Bakersfield Memorial Hospital PastSince Jan 1, 2024 Accepting new patients

Locations

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

100 E Cypress Ave
Redding, CA 96002
Phone (530) 722-1111

2145 Court St
Redding, CA 96001
Phone (530) 243-7030

1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBJAA/Endpoint/DCBJAA

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": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1083967269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012237",
            "telephone_number": "661-327-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADIS",
        "first_name": "MARY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22098",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.