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

Sex

Female

Sole proprietor

No

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.

• University of Southern California

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1821168113

  CA

  Medicare reassignment Care Compare group NPD
• University of Southern California

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1427181577
  Care Compare group
• University of Southern California

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1679676639
  Care Compare group
• University of Southern California

  • Community/Retail Pharmacy
  • Alhambra, CA
  • NPI 1790160273
  Care Compare group
• Verdugo Hills Pharmacy Inc

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

Specialty

DentistAlso: Pain Management

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

University of Southern California 3 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2021.

{
    "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
• Miriam A Padilla, MD
• Monica Padilla
• Monica Padilla
• Natalie Padilla
• Natalie Alyssa Padilla

• All providers in Los Angeles, CA
• 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.