Clarydilia Oribel De-Paz, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18759 Issued in CA

Practice address

844 S Dora St
Ukiah, CA 95482-5711

Phone

(707) 462-8603

Fax

(707) 462-8605

NPI assigned

Feb 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

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.

• Salinas Valley Primecare Medical Group Inc

  • Specialist
  • Salinas, CA
  • NPI 1881678902
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1568601037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825711",
            "telephone_number": "707-462-8603",
            "fax_number": "707-462-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825711",
            "telephone_number": "707-462-8603",
            "fax_number": "707-462-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE-PAZ",
        "first_name": "CLARYDILIA",
        "middle_name": "ORIBEL",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trish A Davis
• Zachary Davis, REHAB SPEC
• Ashley Daw, PHARMD
• Jorge De Cecco, LMFT
• Gerson Emilio De Leon, P.T
• Joseph R Deanda Jr.
• Debora Rayhan D.D.S., Inc.
• Gary Decrona, M.D.
• Elizabeth Anike Dejong, LMFT 114179
• Savannah Del Campo-Snyde, MA TRAINEE

• Family Nurse Practitioner in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.