Individual provider Active NPI

Marina Paredes, CNM/NP

  • Women's Health Nurse Practitioner
  • San Carlos, CA
National Provider Identifier
1780498295
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NPF95032563 Issued in CA
Practice address
907 Leslie CT
San Carlos, CA 94070-3462
Phone
(650) 291-7712
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 95137090 CA
Advanced Practice Midwife 367A00000X NMW236509 CA
Women's Health Nurse Practitioner 363LW0102X NPF95032563 CA Primary

Addresses

Primary practice location

907 Leslie CT
San Carlos, CA 94070-3462

Mailing address

907 Leslie CT
San Carlos, CA 94070-3462
Phone (650) 291-7712

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
I20250421003015 CA Practitioner - Nurse Practitioner 4981129012 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95032563CAMDWomen's Health Nurse Practitioner
NMW236509CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc CurrentSince Mar 24, 2025 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Feb 26, 2026 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers Inc CurrentSince Mar 24, 2025 Accepting new patients
County of San Joaquin CurrentSince Feb 26, 2026 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1414 N California St
Ste A
Stockton, CA 95202
Phone (209) 468-6820

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

87 W March Ln
Ste 3
Stockton, CA 95207
Phone (209) 395-2510

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: mparedes799134@direct.ochin.org
  • Direct secure messaging: marina.paredes.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 6

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1780498295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LESLIE CT",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703462",
            "telephone_number": "650-291-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 LESLIE CT",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703462",
            "telephone_number": "650-291-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "MARINA",
        "credential": "CNM/NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95137090",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW236509",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NPF95032563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.