Individual provider Active NPI

Guadalupe Aimee Paredes Ramirez, FNP-C

  • Family Nurse Practitioner
  • San Pablo, CA
National Provider Identifier
1659069714
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024378 Issued in CA
Practice address
2023 Vale Rd Ste 107
San Pablo, CA 94806-3891
Phone
(831) 905-4363
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 95024378 CA Primary

Addresses

Primary practice location

2023 Vale Rd Ste 107
San Pablo, CA 94806-3891

Mailing address

2023 Vale Rd Ste 107
San Pablo, CA 94806-3891
Phone (831) 905-4363

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
I20240129001733 CA Order and Referring Only - Nurse Practitioner 1052764859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95024378CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1659069714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 VALE RD STE 107",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063891",
            "telephone_number": "831-905-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VALE RD STE 107",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063891",
            "telephone_number": "831-905-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES RAMIREZ",
        "first_name": "GUADALUPE",
        "middle_name": "AIMEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.