1. Home
  2. Directory
  3. California
  4. Palo Cedro
  5. Nurse Practitioner
  6. NPI Profile

MARY PARADIS PROFESSIONAL NURSING PC
NPI 1639068893
Nurse Practitioner - Primary Care in Palo Cedro, CA

Active since July 01, 2025
21990 HILLSIDE DR, PALO CEDRO, CA 96073(661) 677-9098 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Paradis Professional Nursing Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PARADIS PROFESSIONAL NURSING PC (NPI 1639068893) is a healthcare organization registered as a primary care in Palo Cedro, California and active in the NPI registry since July 2025. The organization lists Mary Paradis, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1639068893
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMARY PARADIS PROFESSIONAL NURSING PC
Location Address21990 HILLSIDE DRPalo Cedro, CA 96073-8637
Mailing Address21990 Hillside DrPalo Cedro, CA 96073-8637
Phone(661) 677-9098
Organization SubpartNo
Authorized OfficialMary ParadisPresident & Ceo · (661) 677-9098
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1639068893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
21990 HILLSIDE DR, Palo Cedro, CA 96073
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Paradis Professional Nursing PC's NPI number?

The NPI number for Mary Paradis Professional Nursing PC is 1639068893. It was assigned to this organization in the NPPES registry on July 1, 2025.

Where is Mary Paradis Professional Nursing PC located?

Mary Paradis Professional Nursing PC is located at 21990 Hillside Dr, Palo Cedro, CA 96073. The listed phone number is (661) 677-9098.

What is Mary Paradis Professional Nursing PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mary Paradis Professional Nursing PC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.