Nicole Pardo, MD, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A122593 Issued in CA

Legal business name

NICOLE PARDO, MD, INC

Practice address

1341 Burnett Way
Sacramento, CA 95818-2221

Phone

(916) 407-4497

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Pardo, MDNPI 1083928212

Title

Psychiatrist

Phone

(916) 407-4497

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Pardo, MD

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1083928212
  Medicare reassignment NPD Authorized official
• Daniel Michael Ahlers, MD

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1851779425

  Single Specialty

  NPD (past)
• Jed Ferrell, M.D.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1215172655
  NPD (past)
• Cindy Yaewon Thygeson, MD

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1013053784
  NPD (past)
• Denali Tice, M.D.

  • Psychiatry Physician
  • Folsom, CA
  • NPI 1508124660
  NPD (past)

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1861920241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19931",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958190931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BURNETT WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182221",
            "telephone_number": "916-407-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Folsom Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262626",
            "country_code": "US",
            "telephone_number": "916-407-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICOLE PARDO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "916-407-4497",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A122593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1083928212",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis C Nicodemus
• Carol A Nicol, R.N.
• Cassandra Marie Nicolaysen
• Cynthia Louise Nicolaysen
• Kayelene Nicolazzi
• Nicoles Electrolysis, Inc.
• Kaitlin J Nicoletti, DO
• Paul Nicora
• Nidal a Khalili MD, Inc
• Mark Nidoy

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.