Active NPI
Joanne R Padilla, PA-C
- Medical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1306966684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2674
- Practice address
- 515 W Buckeye Rd
Suite 402
Phoenix, AZ 85003-2647 - Phone
- (602) 257-9229
- Fax
- (602) 257-9368
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2674 | AZ | Primary |
Addresses
Primary practice location
515 W Buckeye Rd
Suite 402
Phoenix, AZ 85003-2647
Mailing address
515 W Buckeye Rd
Suite 402
Phoenix, AZ 85003-2647
Phone (602) 257-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2674 | AZ | MD | Medical Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DECFCA/Endpoint/DECFCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1306966684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W BUCKEYE RD",
"address_2": "SUITE 402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032647",
"telephone_number": "602-257-9229",
"fax_number": "602-257-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W BUCKEYE RD",
"address_2": "SUITE 402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032647",
"telephone_number": "602-257-9229",
"fax_number": "602-257-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "JOANNE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.