Individual provider Active NPI

Delimar Sanchez-Padilla, PH.D.

  • Psychologist
  • Novato, CA
National Provider Identifier
1558496786
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY28293 Issued in CA
Practice address
6100 Redwood Blvd
Novato, CA 94945-4501
Phone
(415) 299-2768
NPI assigned
Feb 21, 2007
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY28293 CA Primary
Clinical Psychologist 103TC0700X 28293 CA

Addresses

Primary practice location

6100 Redwood Blvd
Novato, CA 94945-4501

Mailing address

25 Giacomini Rd
Point Reyes Station, CA 94956-9752
Phone (415) 299-2768

Other names 1

  • Delimar Sanchez-Padilla Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610002668 CA Order and Referring Only - Clinical Psychologist 5890028666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
28293CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: dsanchezpadilla585266@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1558496786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GIACOMINI RD",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949569752",
            "telephone_number": "415-299-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 REDWOOD BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454501",
            "telephone_number": "415-299-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-PADILLA",
        "first_name": "DELIMAR",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28293",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELIMAR",
            "last_name": "SANCHEZ-PADILLA",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.