Christine A. Padesky, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY7635 Issued in CA

Practice address

151 Kalmus Dr Ste B220
Costa Mesa, CA 92626-7957

Phone

(714) 963-0528

NPI assigned

May 31, 2007

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1932300233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5267 WARNER AVE # 401",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494079",
            "telephone_number": "714-963-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE B220",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267957",
            "telephone_number": "714-963-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADESKY",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY7635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacifica Newport Mesa LLC (Newport Mesa Senior Living)
• Pacifica Orange County LLC (Pacifica Senior Living South Coast)
• Jennifer Pacini, LMFT
• Leina R Pada
• Erin Michele Padden
• Natalie Padilla- Vazquez
• Christine Padilla
• Juan Jose Padilla
• Karla Padilla
• Valeria Padilla

• Cognitive & Behavioral Psychologist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.