Active NPI
Alexander J Padilla, LSA
- Surgical Physician Assistant
- Spring, TX
National Provider Identifier
1700183985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- CSA-08108
- Practice address
- 9119 Glenfair CT
Spring, TX 77379-3743 - Phone
- (713) 426-3023
- NPI assigned
- Feb 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | CSA-08108 | TX | Primary |
| Surgical Physician Assistant | 363AS0400X | SA-0130 | DC |
Addresses
Primary practice location
9119 Glenfair CT
Spring, TX 77379-3743
Mailing address
9119 Glenfair CT
Spring, TX 77379-3743
Phone (713) 426-3023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0130 | Other | DC | STATE LICENCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA-0130 | DC | MD | Surgical Physician Assistant |
| CSA-08108 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1700183985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 GLENFAIR CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773793743",
"telephone_number": "713-426-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 GLENFAIR CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773793743",
"telephone_number": "713-426-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ALEXANDER",
"middle_name": "J",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-23",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "CSA-08108",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DC",
"license": "SA-0130",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "SA0130",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.