Active NPI
Aide Irene Paredes-Salceda, PAC
- Physician Assistant
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18415
- Practice address
- 220 Hospital Dr
Vallejo, CA 94589-2517 - Phone
- (707) 641-1900
- Fax
- (707) 554-2294
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18415 | CA | Primary |
Addresses
Primary practice location
220 Hospital Dr
Vallejo, CA 94589-2517
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ21677Z | Other | CA | FQHC MEDICARE PART B |
| HAP70816F | Other | CA | FPACT |
| FHC70816F | Medicaid | CA | |
| 55-1976 | Other | CA | FQHC MEDICARE PART A |
Other names 1
- Irene Salceda
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Hospital Dr
Vallejo, CA 94589-2517
Phone (707) 645-7316
220 Hospital Dr
Vallejo, CA 94589-2517
Phone (707) 641-1900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18415 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza, Inc. | Current | Accepting new patients | |
| La Clinica de la Raza, Inc. | Past | Accepting new patients |
Locations
220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900
Interoperability endpoints
- aparedessalceda306683@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Concord, CA
- NPI 1538181482
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1346262292
-
- Federally Qualified Health Center (FQHC)
- Vallejo, CA
- NPI 1720243454
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1427070374
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Leandro, CA
- NPI 1295365658
-
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1538241401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946232210",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HOSPITAL DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892517",
"telephone_number": "707-641-1900",
"fax_number": "707-554-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREDES-SALCEDA",
"first_name": "AIDE",
"middle_name": "IRENE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC MEDICARE PART B",
"identifier": "ZZZ21677Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FPACT",
"identifier": "HAP70816F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70816F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC MEDICARE PART A",
"identifier": "55-1976",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRENE",
"last_name": "SALCEDA",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.