DR. PATRICK NICHOLEUS CAMPO PAGADUAN DO
NPI 1093458820
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA

Q: What is Patrick Pagaduan's NPI number?

The NPI number for Patrick Pagaduan is 1093458820. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Patrick Pagaduan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Pagaduan was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment

27300 IRIS AVE, MORENO VALLEY, CA 92555(951) 353-4619(951) 353-5838 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Apr 19, 2022 (2 updates tracked since 2022).

On this page

About Dr. Patrick Nicholeus Campo Pagaduan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICK NICHOLEUS CAMPO PAGADUAN DO (NPI 1093458820) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093458820

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PATRICK NICHOLEUS CAMPO PAGADUANCredential: DO

Location Address27300 IRIS AVEMoreno Valley, CA 92555-4802

Mailing Address27300 Iris AveMoreno Valley, CA 92555-4802 · (951) 353-4619 · Fax (951) 353-5838

Phone(951) 353-4619

Fax(951) 353-5838

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 19, 2022

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1093458820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

27300 IRIS AVE, Moreno Valley, CA 92555

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patrick Nicholeus Campo Pagaduan Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274914353

PECOS Enrollment IDI20251106002014

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NNEOMA SUSAN OBINNA

Registered Nurse