Sandy Marie Paez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC12653 Issued in CA

Practice address

457 Knollcrest Dr Ste 120
Redding, CA 96002-0121

Phone

(530) 392-4399

Fax

(530) 903-4226

NPI assigned

Apr 13, 2023

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

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.

• Community Medical Specialists Inc

  • Psychiatry Physician
  • Redding, CA
  • NPI 1659084101
  NPD (past)

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1982390811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 KNOXVILLE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132127",
            "telephone_number": "562-441-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 KNOLLCREST DR STE 120",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020121",
            "telephone_number": "530-392-4399",
            "fax_number": "530-903-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "SANDY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC12653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacheco Union Elementary
• Pacific Health Care Group Inc
• Pacific Interventional Neurosciences
• Pacific Medical, Inc.
• Delores Padilla
• Kelly Pagan, RN, BSN, MSN
• Kimberly Ann Page, M.D.
• Luke David Page, O.D.
• Tyesha Page
• Aravind Pai, M.D.

• Mental Health Counselor in Redding, CA
• Providers in Redding, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.