Individual provider Active NPI

Gisela Regalado Paredes

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1629698253
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016391 Issued in CA
Practice address
42135 10TH St W Ste 201
Lancaster, CA 93534-6093
Phone
(661) 341-3800
Fax
(661) 341-3810
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016391 CA Primary

Addresses

Primary practice location

42135 10TH St W Ste 201
Lancaster, CA 93534-6093

Mailing address

42135 10TH St W Ste 201
Lancaster, CA 93534-6093
Phone (661) 341-3800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325002491 CA Practitioner - Nurse Practitioner 3173930732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Medical CorporationGroup PAC ID 6103730569, 58 clinicians

Practice addresses (Care Compare)

43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016391CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Medical Group Surgery CurrentSince Jul 26, 2024 Accepting new patients
Avors Medical Group CurrentSince Apr 1, 2021 Accepting new patients
Familyfirst Family Medical Practice Inc CurrentSince Dec 1, 2023 Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

42135 10th St W
Ste 201
Lancaster, CA 93534
Phone (661) 341-3800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1629698253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346093",
            "telephone_number": "661-341-3800",
            "fax_number": "661-341-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346093",
            "telephone_number": "661-341-3800",
            "fax_number": "661-341-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "GISELA",
        "middle_name": "REGALADO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.