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

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: November 01, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Pagaduan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Registered Nurse
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Social Worker (Clinical)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacy (Institutional Pharmacy)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Respiratory Therapist, Registered (General Care)
27300 IRIS AVE
MORENO VALLEY, CA 92555
General Acute Care Hospital
27300 IRIS AVE
MORENO VALLEY, CA 92555
Dietitian, Registered
27300 IRIS AVE
MORENO VALLEY, CA 92555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Patrick Pagaduan located?

Patrick Pagaduan practices at 27300 Iris Ave, Moreno Valley, CA 92555. The listed phone number is (951) 353-4619.

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.

Is Patrick Pagaduan enrolled in Medicare?

Yes. Patrick Pagaduan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Patrick Pagaduan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Pagaduan reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Pagaduan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 16 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.