Active NPI
Parya Gaudreau, D.O
- Optometrist
- Los Gatos, CA
National Provider Identifier
1710224100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14533
- Practice address
- 53 N Santa Cruz Ave
Los Gatos, CA 95030-5916 - Phone
- (408) 399-8003
- Fax
- (409) 399-8004
- NPI assigned
- Jan 6, 2013
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14533 | CA | Primary |
Addresses
Primary practice location
53 N Santa Cruz Ave
Los Gatos, CA 95030-5916
Mailing address
1745 Cambria CT
San Jose, CA 95124-4616
Phone (408) 806-5411
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1710224100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 CAMBRIA CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244616",
"telephone_number": "408-806-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 N SANTA CRUZ AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950305916",
"telephone_number": "408-399-8003",
"fax_number": "409-399-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDREAU",
"first_name": "PARYA",
"name_prefix": "Mrs.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-06",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.