Ferdinand Pardede

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306005651 Issued in CA

Practice address

29751 Ana Maria LN
Laguna Niguel, CA 92677-1720

Phone

(949) 423-6175

NPI assigned

May 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Sun LTD. Liability Co.

  • Respite Care
  • Laguna Niguel, CA
  • NPI 1831926393
  NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1972187581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PALATINE APT 341",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120645",
            "telephone_number": "949-423-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 ANA MARIA LN",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771720",
            "telephone_number": "949-423-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEDE",
        "first_name": "FERDINAND",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "306005651",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "306005651",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306005651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sunrisegardenassistedliving.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "29751 Ana Maria Ln",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926771720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pain Management Equipment
• Andrew Pallos, D.D.S.
• Fouad Panah, M.D
• Mikaela Paniagua
• Frederick Mark Paoli, A.T.,C. , P.T.A.
• Parentis Congregate Living Health Facilities Inc.
• Parham Chiropractic Inc
• Stephen G Parham, D.C.
• Setareh Parhizkar, BEHAVIOR TECHNICAN
• Erin Elizabeth Parise, MD

• Assisted Living Facility in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.