Paradise Family Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARADISE FAMILY HEALTH CENTER

Practice address

655 Euclid Ave
Suite #207
National City, CA 91950-2957

Phone

(619) 475-4575

NPI assigned

Dec 8, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Blanca I Fresno, MDNPI 1346258787

Title

Administrator

Phone

(619) 475-4575

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blanca I Fresno, M.D.

  • Pediatrics Physician
  • National City, CA
  • NPI 1346258787
  NPD (past) Authorized official
• Nena M Rocha, M.D.

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1669480026

  Family Medicine

  NPD (past)
• Mariles F Valencia, M.D.

  • Pediatrics Physician
  • National City, CA
  • NPI 1275541625
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1366427734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 BONITA RD",
            "address_2": "PB #467",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021421",
            "telephone_number": "619-475-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE",
            "address_2": "SUITE #207",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-475-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "FRESNO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-475-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleli Amos Palaganas
• Angelina Eileen Palos
• Jay Pandhi, MD
• Monica Rae Paniagua
• Gregory Sean Paniccia, M.D.
• Paradise Pharmacy, Inc.
• Paradise Valley Health Care Center, Inc.
• Paradise Valley Hospital
• Paradise Valley Hospital
• Paradise Valley Hospital

• All providers in National City, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.