Individual provider Active NPI

Mayra Leticia Padilla Arechiga, NP

  • Nurse Practitioner
  • Lake Elsinore, CA
National Provider Identifier
1265080949
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95012229 Issued in CA
Practice address
141 N Main St
Lake Elsinore, CA 92530-4118
Phone
(855) 505-7467
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95012229 CA Primary

Addresses

Primary practice location

141 N Main St
Lake Elsinore, CA 92530-4118

Mailing address

52996 Astrid Way
Lake Elsinore, CA 92532-7508
Phone (310) 418-1419

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200109001998 CA Practitioner - Nurse Practitioner 5496180978 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95012229CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Aug 1, 2022 Accepting new patients
County of Riverside Current Accepting new patients
Javier R Rios MD, a Professional Corporation Current Accepting new patients
County of Riverside CurrentSince Aug 1, 2022 Accepting new patients
Javier R. Rios MD a Professional Corporation CurrentSince Nov 1, 2021 Accepting new patients
Javier R Rios MD, a Professional Corporation CurrentSince Nov 1, 2021 Accepting new patients

Locations

495 E Rincon St
Ste 215
Corona, CA 92879

141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003

23520 Cactus Ave
Moreno Valley, CA 92553
Phone (951) 867-3812

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

Interoperability endpoints

  • Direct secure messaging: mpadilla72309@direct.llu.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1265080949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52996 ASTRID WAY",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925327508",
            "telephone_number": "310-418-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304118",
            "telephone_number": "855-505-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA ARECHIGA",
        "first_name": "MAYRA",
        "middle_name": "LETICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95012229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.