Melinda Carol Padgett, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13610 Issued in CA

Practice address

University of California, Santa Cruz, Student Health
1156 High Street
Santa Cruz, CA 95064

Phone

(831) 459-2636

Fax

(831) 459-3546

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Telecare Corporation

  • Psychiatric Hospital
  • Santa Cruz, CA
  • NPI 1780926964
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124244215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ESCALONA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603311",
            "telephone_number": "831-459-2636",
            "fax_number": "831-459-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA, SANTA CRUZ, STUDENT HEALTH",
            "address_2": "1156 HIGH STREET",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95064",
            "telephone_number": "831-459-2636",
            "fax_number": "831-459-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "MELINDA",
        "middle_name": "CAROL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Collegiate School
• Pacific Composure Psychiatry & Hypnotherapy
• Pacific Ketamine and Wellness, a Professional Nursing Corporation
• Audra Desiree Packard
• Shanthi Sudha Padala
• Carlos D Padilla, M.S.
• Catalina Padilla, RN
• Claudia Padilla
• Lizette Padilla
• Mireya Padilla

• Physician Assistant in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.