Active NPI
Jessica Breanne Padilla
- Behavior Analyst
- Palm Springs, CA
National Provider Identifier
1831974161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1111 E Tahquitz Canyon Way Ste 110
Palm Springs, CA 92262-0113 - Phone
- (562) 234-6093
- NPI assigned
- Aug 25, 2023
- Last updated
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
1111 E Tahquitz Canyon Way Ste 110
Palm Springs, CA 92262-0113
Mailing address
66622 Yucca Dr
Desert Hot Springs, CA 92240-2632
Phone (562) 234-6093
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1831974161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66622 YUCCA DR",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922402632",
"telephone_number": "562-234-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E TAHQUITZ CANYON WAY STE 110",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922620113",
"telephone_number": "562-234-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "JESSICA",
"middle_name": "BREANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
- Pacific Sleep Medicine Services, Inc (CardioSom)
- Pacifica Recovery Inc
- Pacifica SL Palm Springs LLC (Cottages at Palm Springs)
- Lilia Margarita Pacini, M.D.
- Christina Lisa Padilla
- Christine Dominique Padillo, PHARMD
- Painless Spine Center of Palm Springs, Inc
- Krishna Chaitanya Pakanati, M.D.
- Christina Garcia Palencia
- Palm Behavioral Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.