Individual provider Active NPI

Dennis Peter Padla, MD

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1295728921
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
152804 Issued in CA
Practice address
510 Plaza Dr Ste 170
Folsom, CA 95630-4790
Phone
(916) 351-9400
Fax
(916) 351-9449
NPI assigned
Aug 29, 2005
Reactivated
Mar 30, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 152804 CA Primary
Psychiatry Physician 2084P0800X 4301060272 MI
Geriatric Psychiatry Physician 2084P0805X 01070575A IN

Addresses

Primary practice location

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Mailing address

2020 J St
Sacramento, CA 95811-3120
Phone (916) 341-0575

Other practice location 1

355 W Olive Ave Ste 3
El Centro, CA 92243-3043
Phone (916) 351-9400

Other practice location 2

2955 Main St Ste 110-K
Irvine, CA 92614-5909
Phone (916) 351-9400

Other practice location 3

888 4th St Ste 12
San Rafael, CA 94901-3284
Phone (916) 351-9400

Other practice location 4

44240 Fremont Blvd
Fremont, CA 94538-6000
Phone (916) 351-9400

Other practice location 5

1101 Maidu Dr
Auburn, CA 95603-5864
Phone (916) 351-9400

Other practice location 6

1254 Mission St Ste 220
San Francisco, CA 94103-2706
Phone (916) 351-9400

Other practice location 7

169 Hartnell Ave Ste 110
Redding, CA 96002-1849
Phone (916) 351-9400

Other practice location 8

7365 Carnelian St Ste 222F
Rancho Cucamonga, CA 91730-1157
Phone (916) 351-9400

Other practice location 9

1825 N Oxnard Blvd Ste 19
Oxnard, CA 93030-3503
Phone (916) 351-9400

Other practice location 10

634 H St
Eureka, CA 95501-1053
Phone (916) 351-9400

Other practice location 11

30 E San Joaquin St Ste 203B
Salinas, CA 93901-2947
Phone (916) 351-9400

Other practice location 12

414 W 21st St
Merced, CA 95340-3718
Phone (916) 351-9400

Other practice location 13

5817 Red Arrow Hwy
Stevensville, MI 49127-1142
Phone (269) 983-3885

Other practice location 14

9381 E Stockton Blvd Ste 220
Elk Grove, CA 95624-5070
Phone (916) 351-9400

Other practice location 15

2008 W Dorothea Ave Ste 203
Visalia, CA 93277-7300
Phone (916) 351-9400

Other practice location 16

2386 Fair Oaks Blvd
Sacramento, CA 95825-4741
Phone (916) 351-9400

Other practice location 17

2020 J St
Sacramento, CA 95811
Phone (916) 341-0575

Other practice location 18

4025 N Fresno St
Fresno, CA 93726-4026
Phone (916) 351-9400

Other practice location 19

1040 Park Ave Ste 200-A
San Jose, CA 95126-3075
Phone (916) 351-9400

Other practice location 20

3200 4th Ave Ste 200G
San Diego, CA 92103-5716
Phone (916) 351-9400

Other practice location 21

2440 Professional Dr
Roseville, CA 95661-7773
Phone (916) 351-9400

Other practice location 22

15720 Ventura Blvd Ste 210
Encino, CA 91436-2954
Phone (916) 351-9400

Other practice location 23

1501 W Cameron Ave Ste 300-129
West Covina, CA 91790-2724
Phone (916) 351-9400

Other practice location 24

509 13th St Ste 8
Modesto, CA 95354-2444
Phone (916) 351-9400

Other practice location 25

2222 Pacific Ave
Stockton, CA 95204-5334
Phone (916) 351-9400

Other practice location 26

5441 Aldrin Ct Ste A
Bakersfield, CA 93313-2194
Phone (916) 351-9400

Other practice location 27

1245 W 6th St
Corona, CA 92882-1870
Phone (916) 351-9400

Other practice location 28

1372 N Main St Ste 206-1
Walnut Creek, CA 94596-4692
Phone (916) 351-9400

Other practice location 29

2345 Fletcher Pkwy
El Cajon, CA 92020-2134
Phone (916) 351-9400

Other practice location 30

225 W Hospitality Ln # 225201P
San Bernardino, CA 92408-3237
Phone (916) 351-9400

Other practice location 31

7177 Brockton Ave Ste 444A
Riverside, CA 92506-2635
Phone (916) 351-9400

Other practice location 32

622 Jackson St Unit 103
Fairfield, CA 94533-6195
Phone (916) 351-9400

Other practice location 33

3711 Long Beach Blvd Ste 4045
Long Beach, CA 90807-3320
Phone (916) 351-9400

Other practice location 34

55 Hitchcock Way Ste 209
Santa Barbara, CA 93105-5635
Phone (916) 351-9400

Other practice location 35

2062 Talbert Dr Ste 100
Chico, CA 95928-7718
Phone (916) 351-9400

Other identifiers 2

IdentifierTypeStateIssuer
1295728921MedicaidCA
2855941MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, WI, CA, MN, OH, IL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20040323001235 MI Practitioner - Psychiatry 7517858046 Reassigns benefits to 1 organization
Practice locations: Stevensville, MI
I20140612000326 IN Practitioner - Psychiatry 7517858046 Reassigns benefits to 1 organization
I20180521002273 WI Practitioner - Psychiatry 7517858046 Reassigns benefits to 2 organizations
I20180605001136 CA Practitioner - Psychiatry 7517858046 Reassigns benefits to 2 organizations
I20241226001815 MN Practitioner - Psychiatry 7517858046 Reassigns benefits to 1 organization
I20250226001258 OH Practitioner - Psychiatry 7517858046 Reassigns benefits to 2 organizations
I20250428001980 IL Practitioner - Psychiatry 7517858046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Care Solutions for Adults and Seniors IncGroup PAC ID 4880918051, 71 clinicians
Hisham Soliman MD IncGroup PAC ID 9436282191, 49 clinicians
Total Care Solutions, SCGroup PAC ID 6002090933, 11 clinicians
BCS of Indiana, LLCGroup PAC ID 3870970957, 5 clinicians
BCS of Wisconsin SCGroup PAC ID 7618232760, 18 clinicians

Practice addresses (Care Compare)

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (877) 906-9699

39465 W 14 Mile Rd
Novi, MI 48377-1600
Phone (877) 906-9699

445 Minnesota St
Suite 1500
Saint Paul, MN 55101-2269
Phone (651) 256-9400

510 Plaza Dr
Suite 170
Folsom, CA 95630-4790
Phone (916) 351-9400

707 W Riverside Blvd
Rockford, IL 61103-2125
Phone (815) 877-5752

9465 Counselors Row
Suite 200
Indianapolis, IN 46240-3817
Phone (877) 906-9699

N45W22766 Charlotte Way
Pewaukee, WI 53072-2107
Phone (414) 716-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
152804CAMDPsychiatry Physician
4301060272MIMDPsychiatry Physician
01070575AINMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Care Solutions for Adults and Seniors, Inc. Psychiatry CurrentSince Jan 1, 2015 Accepting new patients
BCS Care Solutions, LLC CurrentSince Jun 25, 2018 Accepting new patients
Total Care Solutions, SC Geriatric Psychiatry CurrentSince Mar 22, 2025 Accepting new patients
GPS Behavioral Care of Ohio Inc Psychiatry CurrentSince Dec 15, 2025 Accepting new patients
BCS of Wisconsin S.C. Psychiatry CurrentSince Mar 26, 2018 Accepting new patients
BCS of Illinois, S.C. Geriatric Psychiatry CurrentSince Aug 7, 2025 Accepting new patients
Hisham Soliman MD Inc Psychiatry CurrentSince Oct 18, 2019 Accepting new patients
BCS of Indiana, LLC Psychiatry CurrentSince Feb 17, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Past Accepting new patients
H Soliman Medical Corporation Psychiatry Past Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 Accepting new patients

Locations (25 of 40)

1101 Maidu Dr
Auburn, CA 95603
Phone (877) 272-5818

5441 Aldrin Ct
Ste A
Bakersfield, CA 93313

2062 Talbert Dr
Ste 100
Chico, CA 95928
Phone (530) 431-8074

1245 W 6th St
Corona, CA 92882

2345 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 460-4465

2345 Fletcher Pkwy
#170
El Cajon, CA 92020

9381 E Stockton Blvd
Ste 220
Elk Grove, CA 95624
Phone (916) 667-8520

15720 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 515-8097

622 Jackson St
Unit 103
Fairfield, CA 94533

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

44240 Fremont Blvd
Fremont, CA 94538

4025 N Fresno St
Fresno, CA 93726

2955 Main St
Ste 110
Irvine, CA 92614

2955 Main St
Ste 110K
Irvine, CA 92614

3711 Long Beach Blvd
Ste 4045
Long Beach, CA 90807

509 13th St
Ste 8
Modesto, CA 95354

7365 Carnelian St
Ste 222F
Rancho Cucamonga, CA 91730
Phone (916) 315-9400

169 Hartnell Ave
Ste 110
Redding, CA 96002

7177 Brockton Ave
Ste 444A
Riverside, CA 92506

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

2386 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 565-1989

225 W Hospitality Ln
#225201P
San Bernardino, CA 92408

225 W Hospitality Ln
Ste 201P
San Bernardino, CA 92408

3200 4th Ave
Ste 200
San Diego, CA 92103
Phone (858) 283-2391

3200 4th Ave
Ste 200G
San Diego, CA 92103

Interoperability endpoints

  • Direct secure messaging: advancedpsychiatryassociates.dennispadla@157293.advancedmd-direct.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1295728921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113120",
            "telephone_number": "916-341-0575",
            "fax_number": "916-498-9040"
        },
        {
            "country_code": "US",
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            "postal_code": "956304790",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 W Olive Ave Ste 3",
            "address_purpose": "LOCATION",
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            "postal_code": "922433043",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Main St Ste 110-K",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145909",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
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        },
        {
            "address_1": "888 4th St Ste 12",
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            "city": "San Rafael",
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            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44240 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945386000",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Maidu Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956035864",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1254 Mission St Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941032706",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Hartnell Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021849",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7365 Carnelian St Ste 222F",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301157",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 N Oxnard Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930303503",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "634 H St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011053",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E San Joaquin St Ste 203B",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012947",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953403718",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5817 RED ARROW HWY",
            "address_purpose": "LOCATION",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271142",
            "country_code": "US",
            "telephone_number": "269-983-3885",
            "fax_number": "269-983-5763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9381 E Stockton Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956245070",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 W Dorothea Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932777300",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2386 Fair Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254741",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 J St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95811",
            "country_code": "US",
            "telephone_number": "916-341-0575",
            "fax_number": "916-498-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264026",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Park Ave Ste 200-A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263075",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 4th Ave Ste 200G",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035716",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617773",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Ventura Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362954",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Cameron Ave Ste 300-129",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902724",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 13th St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542444",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952045334",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5441 Aldrin Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933132194",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928821870",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1372 N Main St Ste 206-1",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964692",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Fletcher Pkwy",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202134",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 W Hospitality Ln # 225201P",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083237",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7177 Brockton Ave Ste 444A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062635",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Jackson St Unit 103",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336195",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3711 Long Beach Blvd Ste 4045",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073320",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Hitchcock Way Ste 209",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931055635",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 Talbert Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959287718",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADLA",
        "first_name": "DENNIS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "152804",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301060272",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IN",
            "license": "01070575A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295728921",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2855941",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.