Provider Demographics
NPI:1184951881
Name:RIOS-PARADA, RAMON YGNACIO (BA)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:YGNACIO
Last Name:RIOS-PARADA
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:RAMON
Other - Middle Name:
Other - Last Name:RIOS-PARADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26081 MOCINE AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-2923
Mailing Address - Country:US
Mailing Address - Phone:510-881-5921
Mailing Address - Fax:
Practice Address - Street 1:24301 SOUTHLAND DR STE 30
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1542
Practice Address - Country:US
Practice Address - Phone:510-300-3500
Practice Address - Fax:877-992-0038
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA866701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program