Mariela Padilla, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

103511 Issued in CA

Practice address

925 W 34TH Street Herman Ostrow School of Dentistry
Los Angeles, CA 90089-0001

Phone

(213) 740-2696

NPI assigned

Feb 1, 2019

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DentistAlso: Pain Management

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

University of Southern CaliforniaGroup PAC ID 5597658633, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• University of Southern California

  dba USC School of Dentistry

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1821168113
  Medicare reassignment Care Compare group NPD
• Verdugo Hills Pharmacy Inc

  dba USC Verdugo Hills Professional Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
  • NPI 1144615550
  NPD

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1124583323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PERSHING DR UNIT 4321",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938017",
            "telephone_number": "310-307-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH STREET HERMAN OSTROW SCHOOL OF DENTISTRY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890001",
            "telephone_number": "213-740-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MARIELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60809187",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "103511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Padilla, M.A., PSY.D.
• Lilia Padilla
• Lilia Genoveva Padilla, LCSW
• Lucia Padilla, PHYSICIAN ASSISTANT
• Maria Jesus Padilla, RDHAP
• Monica Padilla
• Monica Padilla
• Natalie Padilla
• Natalie Alyssa Padilla
• Ricardo Padilla, MD

• Orofacial Pain Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orofacial Pain Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.