Individual provider Active NPI

Rebecca Paida

  • Health Educator
  • San Diego, CA
National Provider Identifier
1629833447
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
23907 Issued in CA
Practice address
4265 Fairmount Ave Ste 130
San Diego, CA 92105-6401
Phone
(619) 265-2959
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Health Educator 174H00000X 23907 CA Primary

Addresses

Primary practice location

4265 Fairmount Ave Ste 130
San Diego, CA 92105-6401

Mailing address

4265 Fairmount Ave Ste 130
San Diego, CA 92105-6401

Other practice location 1

425 W Broadway Ste 208
Glendale, CA 91204-1269
Phone (818) 403-5119

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
23907CAMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Nile Sisters Development Initiative Case Manager/Care Coordinator CurrentSince Feb 25, 2024 Accepting new patients
Nile Sisters Development Initiative Case Manager/Care Coordinator CurrentSince Mar 31, 2024 Accepting new patients

Locations

4265 Fairmount Ave
Ste 130
San Diego, CA 92105
Phone (619) 265-2959

Organizations & group practices 2

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1629833447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 FAIRMOUNT AVE STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921056401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 FAIRMOUNT AVE STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921056401",
            "telephone_number": "619-265-2959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W Broadway Ste 208",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912041269",
            "country_code": "US",
            "telephone_number": "818-403-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIDA",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "23907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.