Individual provider Active NPI

Alejandro Paredes

  • Rehabilitation Practitioner
  • Santa Fe Springs, CA
National Provider Identifier
1477081164
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
11721 Telegraph Rd
Santa Fe Springs, CA 90670
Phone
(562) 949-8455
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW72767 CA
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

11721 Telegraph Rd
Santa Fe Springs, CA 90670

Mailing address

721 S Garfield Ave Apt C
Monterey Park, CA 91754-3978
Phone (626) 324-7506

Other practice location 1

1663 Maxson Rd
South El Monte, CA 91733-4055
Phone (626) 324-7506

Other practice location 2

1663 Maxson Rd
South El Monte, CA 91733-4055
Phone (626) 324-7506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW72767CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477081164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S GARFIELD AVE APT C",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543978",
            "telephone_number": "626-324-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "90670",
            "telephone_number": "562-949-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 Maxson Rd",
            "address_purpose": "LOCATION",
            "city": "South El Monte",
            "state": "CA",
            "postal_code": "917334055",
            "country_code": "US",
            "telephone_number": "626-324-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1663 Maxson Rd",
            "address_purpose": "LOCATION",
            "city": "South El Monte",
            "state": "CA",
            "postal_code": "917334055",
            "country_code": "US",
            "telephone_number": "626-324-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW72767",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.