Violetta Mejia Padilla

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

10014363 Issued in AZ

Practice address

4749 W 19TH LN
Yuma, AZ 85364-6630

Phone

(928) 246-8021

NPI assigned

Nov 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1548034556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 W 19TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 W 19TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646630",
            "telephone_number": "928-246-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "VIOLETTA",
        "middle_name": "MEJIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "10014363",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "10014363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzy Geraldine Pacheco, NP
• Pacific Avenue Dental Care
• James M Packer, PT
• Damaris Padilla, M.D.
• Heather Marie Padilla
• Diane Alexandra Haro Pagan, LCSW
• Mauricio Palacios Romero, NP
• Palm Canyon Dermatology, PC
• Jesus Palomino
• Helen Panagiotis

• Child Mental Illness Respite Care in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.