Stephanie S Padero, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19801 Issued in CA

Practice address

144 Continente Ave Ste And100
Brentwood, CA 94513-1999

Phone

(925) 513-2440

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  NPD (past)

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1538994389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 E HOUSTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203631",
            "telephone_number": "559-972-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CONTINENTE AVE STE AND100",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131999",
            "telephone_number": "925-513-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 N 1st St Ste 142",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266818",
            "country_code": "US",
            "telephone_number": "559-825-1980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7173 N Sharon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203329",
            "country_code": "US",
            "telephone_number": "559-436-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADERO",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Stephany Ortiz
• Dyanah Lola Nimata Othman
• Pacific Dental Services
• Sujatha Annadurai Padavettan, DDS
• William S. Paden
• Edgar Padilla-Perez
• Lacresia Paige
• Kristin M Palmer, MS
• Rolf Gustav Palmer, MD
• Hasmin Palo

• Occupational Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.