Individual provider Active NPI

James Lawrence Padilla, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1932206083
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23346 Issued in CA
Practice address
16870 W Bernardo Dr Ste 120
San Diego, CA 92127-1678
Phone
(858) 676-1166
Fax
(858) 676-1172
NPI assigned
Sep 20, 2006
Last updated
Jul 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23346 CA Primary

Addresses

Primary practice location

16870 W Bernardo Dr Ste 120
San Diego, CA 92127-1678

Mailing address

16870 W Bernardo Dr Ste 120
San Diego, CA 92127-1678
Phone (858) 676-1166

Other identifiers 2

IdentifierTypeStateIssuer
1003955733OtherCAGROUP NPI
1932206083OtherCAINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220000820 CA Practitioner - Chiropractic 7517197445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16445 Bernardo Ctr Dr
San Diego, CA 92128-2523
Phone (858) 676-1166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC23346CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Daquino, DO; Inc CurrentSince Jun 21, 2020 Accepting new patients
San Diego Spine and Wellness Center Chiropractor CurrentSince Jan 6, 2014 Accepting new patients
Scripps Health Current Accepting new patients

Locations

16445 Bernardo Center Dr
San Diego, CA 92128
Phone (858) 429-0099

16870 W Bernardo Dr
Ste 120
San Diego, CA 92127
Phone (858) 429-0099

Interoperability endpoints

  • Direct secure messaging: jpadilla37785@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1932206083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 W BERNARDO DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271678",
            "telephone_number": "858-676-1166",
            "fax_number": "858-676-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 W BERNARDO DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271678",
            "telephone_number": "858-676-1166",
            "fax_number": "858-676-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003955733",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932206083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.