Active NPI
David Arredondo, M.D.
- Clinical Neuropsychologist
- Redwood City, CA
National Provider Identifier
1902045917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- C43199
- Practice address
- 165 Arch St
Redwood City, CA 94062-1303 - Phone
- (415) 699-2030
- NPI assigned
- Feb 13, 2009
- Last updated
- Feb 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | C43199 | CA | Primary |
Addresses
Primary practice location
165 Arch St
Redwood City, CA 94062-1303
Mailing address
325 Sharon Park Dr
Suite 210
Menlo Park, CA 94025-6805
Phone (415) 699-2030
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C43199 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1902045917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SHARON PARK DR",
"address_2": "SUITE 210",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256805",
"telephone_number": "415-699-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ARCH ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621303",
"telephone_number": "415-699-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARREDONDO",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "C43199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.