Patricia Diane Padilla, MSN, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025930 Issued in CA

Practice address

1600 S Imperial Ave Ste 3
El Centro, CA 92243-4242

Phone

(760) 339-2802

NPI assigned

Oct 30, 2023

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alertive Healthcare Medical Group ApcGroup PAC ID 9335543974, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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 and National Provider Directory roles.

• Alertive Healthcare Medical Group Apc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1467024331
  Medicare reassignment Care Compare group NPD
• Alertive Wound Care Specialists Professional Corp

  • Specialist
  • Fullerton, CA
  • NPI 1306733050
  Medicare reassignment NPD
• Alertive Healthcare Medical Group PC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1467280990
  NPD (past)

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1235901661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S IMPERIAL AVE STE 3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242",
            "telephone_number": "760-339-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S IMPERIAL AVE STE 3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242",
            "telephone_number": "760-339-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Yvonne Pacheco
• Pacific Anesthesia Medical
• Pacific Pain and Spine Institute Inc
• Israel Padilla
• Jaime Padilla Jr.
• Denise Page-Demorst
• Pal, Azatyan, Khachatryan, a Professional Dental Corporation
• Dayana Palacios
• Roxanna Palacios
• Ana Palafox-Mendez, FNP

• Family Nurse Practitioner in El Centro, CA
• Providers in El Centro, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.