Healthcare Provider Details

I. General information

NPI: 1700719002
Provider Name (Legal Business Name): NATALIA PAZ PRADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7810 ARROYO CIR
GILROY CA
95020-7313
US

IV. Provider business mailing address

1310 HERITAGE WAY
GILROY CA
95020-7469
US

V. Phone/Fax

Practice location:
  • Phone: 669-205-4000
  • Fax:
Mailing address:
  • Phone: 408-312-9230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21559
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: