MEDICARE: ALEXANDRA PINEDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	5349-57	WI
2	103T00000X	Psychologist	35956	CA
3	103TC0700X	Clinical Psychologist	LP7149	MN
4	106H00000X	Marriage & Family Therapist	100651	CA
5	103TC0700X	Clinical Psychologist	35956	CA

General Provider Information

NPI Number	:	1639463797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA PINEDA

Provider Business Mailing Address
First Line	:	300 S 6TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55487-0999
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 CENTRAL AVE STE 500
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-5907
Country	:	US
Telephone Number	:	442-327-9311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	08/15/2025

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Directions to “ ALEXANDRA PINEDA ” Practice Location

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