Active NPI
Marian Padilla
- Physician Assistant
- Austin, TX
National Provider Identifier
1912568684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17957
- Practice address
- 1524 S Interstate 35 Ste 202
Austin, TX 78704-2671 - Phone
- (512) 707-1629
- NPI assigned
- Jun 24, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17957 | TX | Primary |
| Physician Assistant | 363A00000X | PA58090 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA58090 | CA |
Addresses
Primary practice location
1524 S Interstate 35 Ste 202
Austin, TX 78704-2671
Mailing address
513 Pecan Grove Rd Apt 203
Austin, TX 78704-2539
Phone (360) 927-2896
Other practice location 1
2950 Research Park Dr
Soquel, CA 95073-2000
Phone (831) 458-6272
Other practice location 2
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17957 | TX | MD | Physician Assistant |
| PA58090 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Brent Turnipseed, Inc | Past | Accepting new patients |
Locations
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Interoperability endpoints
- marian.padilla.1@31211.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1225130677
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Psychiatry Physician
- Austin, TX
- NPI 1760737092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715385600000",
"number": "1912568684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 PECAN GROVE RD APT 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042539",
"telephone_number": "360-927-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 S INTERSTATE 35 STE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042671",
"telephone_number": "512-707-1629"
}
],
"practiceLocations": [
{
"address_1": "2950 Research Park Dr",
"address_purpose": "LOCATION",
"city": "Soquel",
"state": "CA",
"postal_code": "950732000",
"country_code": "US",
"telephone_number": "831-458-6272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA",
"first_name": "MARIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2024-05-11",
"certification_date": "2024-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17957",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA58090",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA58090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.