Jully Munoz Padam, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A173704 Issued in CA

Practice address

1700 Keystone Pacific Pkwy Unit B
Patterson, CA 95363-8874

Phone

(209) 892-9100

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpadam778713@direct.ochin.org
• FHIR API: https://api.platform.athenahealth.com/20554/brand/1/csg/1/fhir/r4
• Direct secure messaging: suzie.benitez@dphealth.org

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.

• CPH-Comprehensive Pediatric Heath

  dba CPH-Comprehensive Pediatric Health

  • Urgent Care Clinic/Center
  • Atherton, CA
  • NPI 1700680147

  Pediatrics

  NPD Authorized official
• Del Puerto Health Care District

  dba Del Puerto Health Center

  • Rural Health Clinic/Center
  • Patterson, CA
  • NPI 1063430916
  NPD (past)
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1437647302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 KEYSTONE PACIFIC PKWY UNIT B",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638874",
            "telephone_number": "440-334-7175",
            "fax_number": "209-892-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KEYSTONE PACIFIC PKWY UNIT B",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638874",
            "telephone_number": "209-892-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 El Camino Real Ste 205",
            "address_purpose": "LOCATION",
            "city": "Atherton",
            "state": "CA",
            "postal_code": "940273864",
            "country_code": "US",
            "telephone_number": "440-334-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADAM",
        "first_name": "JULLY",
        "middle_name": "MUNOZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A173704",
            "primary": true
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "CA",
            "license": "A173704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzie.benitez@dphealth.org",
            "affiliation": "N",
            "endpointDescription": "Pediatrician",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 Keystone Pacific Pkwy Unit B",
            "city": "Patterson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953638874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpadam@stanford.edu",
            "affiliation": "N",
            "endpointDescription": "Fellow",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "730 Welch Rd",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943041503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanna Nunez
• Irma Ochoa
• Jason Oliveira
• Carousel Onia, RN
• Mark Timothy Ory, DDS
• Maritza Pasillas Gonzalez, PPS
• Patterson 1St Care Clinic
• Patterson Family Pharmacy, Inc. (Patterson Family Pharmacy)
• Patterson Family Pharmacy, Inc. (Patterson Family Pharmacy)
• Patterson Joint Unified SD

• Pediatrics Physician in Patterson, CA
• Providers in Patterson, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.