Jacque Marie Pedraza

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA6030 Issued in CA

Practice address

4460 Black Ave Ste F
Pleasanton, CA 94566-6139

Phone

(925) 484-3507

NPI assigned

Apr 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1841619715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-484-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-484-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "JACQUE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA6030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold C Paulos, D.D.S.
• Elizabeth Peace, BCBA
• Sheila Beth Pearlman, PH.D.
• Foujan Pedari, DMD
• Pedram Taher M.D.
• Sam Pejham, M.D.
• Socheatta Pel
• Kathleen Marie Pelz, CO
• Annalissa Lorena Dalan Pena, NP
• Dolor Mia Pena, RN

• Hearing Instrument Specialist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.