Paradigm Healthcare Solutions, Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP 15005 Issued in CA

Legal business name

PARADIGM HEALTHCARE SOLUTIONS, INC

Practice address

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702

Phone

(805) 208-0434

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Tim James Stacy

Title

Owner

Phone

(805) 208-0434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Timothy James Stacy, ACNP

  • Acute Care Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1457356479
  Medicare reassignment

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1467678391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 HILLDALE AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632673",
            "telephone_number": "805-208-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031702",
            "telephone_number": "805-208-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Cochran St",
            "address_2": "Suite # 348",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652780",
            "country_code": "US",
            "telephone_number": "805-208-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16237 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362201",
            "country_code": "US",
            "telephone_number": "805-208-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622609",
            "country_code": "US",
            "telephone_number": "805-208-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADIGM HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-208-0434"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP 15005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Susan Pancake, L.C.S.W.
• Hemant Pande, M.D.
• Monica Pang, MPH, RD
• Ronald Pangilinan, PTA
• Jodi Pappacostas
• Melissa Paramo Cedillo
• Marigold Paredes, NP
• Veronica Paredes
• Parfyonova Marriage and Family Therapy
• Shetal Parikh, MSW

• Primary Care Nurse Practitioner in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.