Jed Padre, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A169377 Issued in CA

Practice address

282 E Sepulveda Blvd
Carson, CA 90745-6323

Phone

(310) 518-6861

NPI assigned

Apr 28, 2017

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jed Padre MD IncGroup PAC ID 4981023140, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Braewood Home Health Inc Home health agency, Van Nuys, CA, CCN 058391
• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
• Harbor Post Acute Care Center Nursing home, Torrance, CA, CCN 056192

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Geri-Care Inc.

  dba Harbor Post-Acute Care Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1053392639

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Jed Padre MD Inc

  • Family Medicine Physician
  • Carson, CA
  • NPI 1225643448
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Braewood Home Health, Inc.

  • Home Health Agency
  • Panorama City, CA
  • NPI 1508072034
  Care Compare affiliation
• Geri-Care Inc.

  dba Harbor Post-Acute Care Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1053392639

  Nursing home

  Care Compare affiliation
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1285169110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 E SEPULVEDA BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456323",
            "telephone_number": "310-518-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 E SEPULVEDA BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456323",
            "telephone_number": "310-518-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRE",
        "first_name": "JED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A169377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Home Ca
• Pacific Home Health Services Inc.
• Ramon Tibay Pacina Jr., NP
• Diane Padre-Gozun
• Emilio Jamorabon Padre, M.D.
• Leilani Palad-Sales, MSN, FNP
• Palm House, Inc.
• Rebeca Isabel Palma Osuna
• Lesley Ann Guzman Palomares
• Tori D Palomino

• Family Medicine Physician in Carson, CA
• Providers in Carson, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.