Richard Junior Padilla Jr.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1661 N Raymond Ave Ste 200
Anaheim, CA 92801-1146

Phone

(714) 966-8666

NPI assigned

Nov 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Coast Children'S Society, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1497882161
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1902441058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO",
            "address_2": "SUITE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "714-966-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N RAYMOND AVE STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011146",
            "telephone_number": "714-966-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "RICHARD",
        "middle_name": "JUNIOR",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Wellness & Family Therapy Corp
• Pacifica SL Anaheim Hills LLC
• Cesar David Padilla
• Kassandra Alexis Padilla
• Moriah Padilla
• Stephanie Padilla I
• Yanely Padilla
• Tarjani Lalitkumar Padmani, PHARM.D.
• Tarun Padmani
• Antonia Padron

• Community Health Worker in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.