MIRIAM C PADILLA M.D.
NPI 1104833979
Family Medicine in Venice, CA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 664-7600 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miriam C Padilla M.d. NPPES

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

MIRIAM C PADILLA M.D. (NPI 1104833979) is an individual family medicine provider in Venice, California, licensed in California (A89196) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1104833979
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRIAM C PADILLACredential: M.D.
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
NPI 1104833979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A89196
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 9448538-1205 (UT)
604 ROSE AVE, Venice, CA 90291

Secondary Practice Location 1

Location 1395 W Cougar Blvd Ste 401Provo, UT 84604-3338 · Phone (801) 357-7546

Accepted Insurance

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

Miriam C Padilla M.d. 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 ID8426052515
PECOS Enrollment IDI20151012000235
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
84 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services37 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
23 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

San Juan Hospital

Critical Access Hospitals · Monticello, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461308
Location380 West 100 NorthMonticello, UT 84535 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers14 claims174 services$18.09 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers13 claims415 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers27 claims125 services$5.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers137 claims139 services$183.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Dentist
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291
Dietitian, Registered
604 ROSE AVE
VENICE, CA 90291

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 Miriam Padilla's NPI number?

The NPI number for Miriam Padilla is 1104833979. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Miriam Padilla located?

Miriam Padilla practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 664-7600.

What is Miriam Padilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miriam Padilla enrolled in Medicare?

Yes. Miriam Padilla 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.

What insurance does Miriam Padilla accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Select Health and University of Utah Health Plans list Miriam Padilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Miriam Padilla affiliated with any hospitals?

According to CMS data, Miriam Padilla is affiliated with Utah Valley Hospital, American Fork Hospital, Sevier Valley Hospital, Spanish Fork Hospital and San Juan Hospital.

When was this NPI record last updated?

The NPPES record for Miriam Padilla was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.