Organization Active NPI

Macaria Padilla

  • Durable Medical Equipment & Medical Supplies
  • Moreno Valley, CA
National Provider Identifier
1639391667
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101-626944 Issued in CA
Legal business name
MACARIA PADILLA
Practice address
24578 Sunnymead Blvd Ste B
Moreno Valley, CA 92553-3789
Phone
(951) 601-2260
Fax
(951) 601-2261
NPI assigned
May 2, 2007
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Macaria Padilla, OWNERNPI 1093879082
Title
Owner
Phone
(951) 601-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101-626944 CA Primary

Addresses

Primary practice location

24578 Sunnymead Blvd Ste B
Moreno Valley, CA 92553-3789

Mailing address

24578 Sunnymead Blvd Ste B
Moreno Valley, CA 92553-3789
Phone (951) 601-2260

Other names 1

  • P&G Home Medical Former legal business name

National Provider Directory

National Provider Directory

Locations

24578 Sunnymead Blvd
Ste B
Moreno Valley, CA 92553
Phone (951) 601-2260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1639391667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24578 SUNNYMEAD BLVD STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533789",
            "telephone_number": "951-601-2260",
            "fax_number": "951-601-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24578 SUNNYMEAD BLVD STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533789",
            "telephone_number": "951-601-2260",
            "fax_number": "951-601-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACARIA PADILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "MACARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-601-2260",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101-626944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P&G Home Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.