Healthcare Provider Details

I. General information

NPI: 1679904445
Provider Name (Legal Business Name): IRIS ESMERALDA PAREDES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2013
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 ALAMEDA DE LAS PULGAS
SAN MATEO CA
94403-1269
US

IV. Provider business mailing address

2000 ALAMEDA DE LAS PULGAS
SAN MATEO CA
94403-1269
US

V. Phone/Fax

Practice location:
  • Phone: 650-573-2502
  • Fax:
Mailing address:
  • Phone: 650-573-2502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-320765
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number769333
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: