Individual provider Active NPI

Carlos Montes de Oca Paez, B.S.- R.A.S.

  • Addiction (Substance Use Disorder) Counselor
  • Bishop, CA
National Provider Identifier
1740455849
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MO403021116 Issued in CA
Practice address
163 Shepard LN
C
Bishop, CA 93514-2133
Phone
(760) 258-7132
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MO403021116 CA
Counselor 101Y00000X MO403021116 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X MO403021116 CA Primary

Addresses

Primary practice location

163 Shepard LN
C
Bishop, CA 93514-2133

Mailing address

163C Shepard LN
Bishop, CA 93514-2133
Phone (760) 258-7132

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MO403021116CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1740455849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163C SHEPARD LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142133",
            "telephone_number": "760-258-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SHEPARD LN",
            "address_2": "C",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142133",
            "telephone_number": "760-258-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DE OCA PAEZ",
        "first_name": "CARLOS",
        "credential": "B.S.- R.A.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "MO403021116",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MO403021116",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MO403021116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.