Cristian W Paredes, CA LIC # 17461

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17461 Issued in CA

Practice address

7772 Chapman Ave
Garden Grove, CA 92841-3003

Phone

(714) 663-6400

NPI assigned

Aug 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1295383438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 PEARCE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122750",
            "telephone_number": "562-208-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7772 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413003",
            "telephone_number": "714-663-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "CRISTIAN",
        "middle_name": "W",
        "credential": "CA LIC # 17461",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romina Papa-Peralta
• Erik Papke
• Joseph Paragas
• Paramed-X LLC
• Trumwin Ramiel Paras Vazquez
• Lucy Paredes, PA-C
• Saadia Parekh, PA-C
• Rebecca Park-Hem
• Esther Park
• Gunhwa Park, L AC

• Speech-Language Pathologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.