Individual provider Active NPI

Gustavo Adolfo Paredes, M.D.

  • Family Medicine Physician
  • Coachella, CA
National Provider Identifier
1164697173
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A112533 Issued in CA
Practice address
49201 Grapefruit Blvd Ste 3
Coachella, CA 92236-1479
Phone
(760) 972-4704
Fax
(442) 300-2222
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17123 PR
Family Medicine Physician 207Q00000X A112533 CA Primary

Addresses

Primary practice location

49201 Grapefruit Blvd Ste 3
Coachella, CA 92236-1479

Mailing address

49201 Grapefruit Blvd Ste 3
Coachella, CA 92236-1479
Phone (760) 972-4704

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
I20101203000762 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 9234326117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49201 Grapefruit Blvd
Suite 3
Coachella, CA 92236-1479
Phone (760) 514-2269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112533CAMDFamily Medicine Physician
17123PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
Paredes Medical Corporation CurrentSince Jan 24, 2024 Accepting new patients
Corwin Medical Group Inc Ipa Family Medicine Past Accepting new patients

Locations

49201 Grapefruit Blvd
Ste 3
Coachella, CA 92236
Phone (760) 514-2269

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gustavo.paredes.p76@direct.mydohc.nextgenshare.com
  • Direct secure messaging: gustavoadolfo.paredes.p5@direct.mydohc.nextgenshare.com

Organizations & group practices 3

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1164697173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49201 GRAPEFRUIT BLVD STE 3",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361479",
            "telephone_number": "760-972-4704",
            "fax_number": "442-300-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49201 GRAPEFRUIT BLVD STE 3",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361479",
            "telephone_number": "760-972-4704",
            "fax_number": "442-300-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17123",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

Verify at the official NPI Registry.