David Padilla, CPSW

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1139 Issued in NM

Practice address

303 N Alameda Blvd
Las Cruces, NM 88005-2590

Phone

(575) 523-0111

NPI assigned

Jun 8, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rydan Solutions Inc

  • Substance Abuse Rehabilitation Facility
  • Las Cruces, NM
  • NPI 1245904879
  NPD
• Rydan Solutions Inc

  • Substance Abuse Rehabilitation Facility
  • Las Cruces, NM
  • NPI 1386139780
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1902473085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052590",
            "telephone_number": "575-523-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052590",
            "telephone_number": "575-523-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "DAVID",
        "credential": "CPSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821556068",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "303 N Alameda Blvd",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880052590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Padilla Serna, LMT
• Annette Padilla, CASE MANAGER
• Audie Padilla, FNP-BC
• Chris R. Padilla, M.S. CCC-SLP
• Corine Padilla, CASE MANAGER
• Ernesto Padilla
• Jacob Thomas Padilla, ASL
• Julia G Padilla
• Rachel Padilla
• Samantha Padilla

• Substance Abuse Rehabilitation Facility in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Substance Abuse Rehabilitation Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.