Alicia Elizabeth Padilla Rendon, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Mission Hills, CA
NPI 1336739333 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1336739333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95015961 (CA)
- Practice address
- 10200 Sepulveda Blvd Ste 200
Mission Hills, CA 91345-2657 - Phone
- (818) 893-6949
- NPI assigned
- Jan 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northeast Valley Health Corporation
Practice addresses (Care Compare)
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929002550 | CA | Practitioner - Nurse Practitioner | 8224435516 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current |
Accepting new patients |
Locations
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- alicia.rendon.p1@direct.nevhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 767273 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95015961 | CA | Yes |
Addresses
Primary practice location
10200 Sepulveda Blvd Ste 200
Mission Hills, CA 91345-2657
Mailing address
10200 Sepulveda Blvd Ste 200
Mission Hills, CA 91345-2657
Phone (818) 893-6949
Other names
- Alicia Padilla
Other providers in Mission Hills, CA
- Jarod Oseguera
- Jeffrey Monivong Ouk
- Tevan Ovsepyan
- Sylvia Cristina Pabon Andraca
- Pacific Trauma Associates, Inc
- Laura Padrino
- Dennis Alan Paggi
- Michael Palazzolo
- Dondae Cabreta Pangilinan
- Aren Panoyan
All providers in Mission Hills, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.