Healthcare Provider Details

I. General information

NPI: 1013830736
Provider Name (Legal Business Name): MARIA PRECIADO-RODRIGUEZ PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39159 PASEO PADRE PKWY STE 121
FREMONT CA
94538-1600
US

IV. Provider business mailing address

39159 PASEO PADRE PKWY STE 121
FREMONT CA
94538-1600
US

V. Phone/Fax

Practice location:
  • Phone: 510-952-1190
  • Fax:
Mailing address:
  • Phone: 510-952-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95038417
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: