Active NPI
Jennifer Nicole Padilla-Burger
- Marriage & Family Therapist
- Santa Maria, CA
National Provider Identifier
1720152515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47878
- Practice address
- 218 Carmen LN
Suite 108
Santa Maria, CA 93458-7772 - Phone
- (805) 259-8195
- Fax
- (805) 614-9363
- NPI assigned
- Nov 20, 2006
- Last updated
- May 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 47878 | CA | Primary |
Addresses
Primary practice location
218 Carmen LN
Suite 108
Santa Maria, CA 93458-7772
Mailing address
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone (805) 259-8195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 1, 2024 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47878 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1720152515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 CHAPALA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013116",
"telephone_number": "805-259-8195",
"fax_number": "805-614-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 CARMEN LN",
"address_2": "SUITE 108",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587772",
"telephone_number": "805-259-8195",
"fax_number": "805-614-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA-BURGER",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
- Pacific Central Coast Health Centers (Hancock Health Center)
- Pacific Central Coast Health Centers (Dignity Health Perinatal and Women's Center - Santa Maria)
- Pacific Coast Critical Care
- Pacific Eye Surgeons, a California Professional Medical Corporation (Optical Concepts)
- Miguel Padilla Garcia
- Kelli Elizabeth Padilla, ACSW
- Debbie M Page, RN, PHN
- Pain Management Pharmacy Inc
- Pain Management Specialists Medical Group
- Dixie Ann Painter, MPAS, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.