Individual
AIDE IRENE PAREDES-SALCEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
220 HOSPITAL DR, VALLEJO, CA 94589-2517
(707) 641-1900
(707) 554-2294
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-1976
FQHC MEDICARE PART A
CA
05
—
FHC70816F
—
CA
01
—
HAP70816F
FPACT
CA
01
—
ZZZ21677Z
FQHC MEDICARE PART B
CA
Enumeration date
10/20/2006
Last updated
05/21/2013
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