Individual provider Active NPI

Evelyn Tanig Padilla, MEDICAL ASSISTANT

  • Military Hospital
  • Garden Ridge, TX
National Provider Identifier
1649423245
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
286500000X Issued in CA
Practice address
18945 FM 2252
Suite115
Garden Ridge,, TX 78266
Phone
(210) 651-0027
Fax
(210) 651-0029
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 286500000X CA Primary

Addresses

Primary practice location

18945 FM 2252
Suite115
Garden Ridge,, TX 78266

Mailing address

18945 FM 2252,
Ste 115
Garden Ridge,, TX 78266
Phone (210) 651-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
286500000XCAMDMilitary Hospital

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1649423245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18945 FM 2252,",
            "address_2": "STE 115",
            "city": "GARDEN RIDGE,",
            "state": "TX",
            "postal_code": "78266",
            "telephone_number": "210-651-0027",
            "fax_number": "210-651-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FM 2252",
            "address_2": "SUITE115",
            "city": "GARDEN RIDGE,",
            "state": "TX",
            "postal_code": "78266",
            "telephone_number": "210-651-0027",
            "fax_number": "210-651-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "EVELYN",
        "middle_name": "TANIG",
        "name_prefix": "Mr.",
        "credential": "MEDICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "286500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.