Individual provider Active NPI

Harold Paredes, MD

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1447592969
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A162122 Issued in CA
Practice address
100 UCLA Medical Plaza Suite 205
Los Angeles, CA 90095
Phone
(310) 208-5400
Fax
(310) 208-3788
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A162122 CA Primary

Addresses

Primary practice location

100 UCLA Medical Plaza Suite 205
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-6609

Other practice location 2

1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-6609

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
I20191031003193 CA Practitioner - Gastroenterology 5890027312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Icahn School of Medicine at Mount Sinai, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Gastroenterology Associates IncGroup PAC ID 7214218726, 7 clinicians

Practice addresses (Care Compare)

2006 N Riverside Ave
Suite B
Rialto, CA 92377-4697
Phone (909) 644-4033

375 Terracina Blvd
Redlands, CA 92373-3801
Phone (909) 644-4033

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162122CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Gastroenterology Associates Inc. Gastroenterology CurrentSince May 1, 2020 Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

10801 Foothill Blvd
Ste 106
Rch Cucamonga, CA 91730
Phone (909) 255-7200

375 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-2600

2006 N Riverside Ave
Rialto, CA 92377
Phone (909) 227-5139

2006 N Riverside Ave
Ste B
Rialto, CA 92377
Phone (909) 644-4033

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1447592969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA SUITE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-208-5400",
            "fax_number": "310-208-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-6609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-6609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "HAROLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A162122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.