DR. DENNIS PETER PADLA MD
Complete NPI Record 1295728921
Psychiatry & Neurology - Psychiatry in Sacramento, CA
Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Dr. Dennis Peter Padla, MD (NPI 1295728921), an individual psychiatry & neurology provider in Sacramento, CA. All 45 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1295728921 Field 1/45
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/45
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: PADLA Field 3/45
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: DENNIS Field 4/45
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: PETER Field 5/45
- The middle name of the provider, if the provider is an individual.
- Provider Name Prefix Text: DR. Field 6/45
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Credential Text: MD Field 7/45
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 2020 J ST Field 8/45
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SACRAMENTO Field 9/45
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 10/45
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 958113120 Field 11/45
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/45
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9163410575 Field 13/45
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9164989040 Field 14/45
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 2020 J ST Field 15/45
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SACRAMENTO Field 16/45
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 17/45
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 95811 Field 18/45
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/45
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9163410575 Field 20/45
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9164989040 Field 21/45
- The fax number associated with the location address of the provider being identified.
- NPI Deactivation Date: 3/22/2006 Field 24/45
- The date that the provider's NPI was deactivated in the NPS.
- NPI Reactivation Date: 3/30/2006 Field 25/45
- The date that the provider's NPI was reactivated in the NPS.
- Provider Gender Code: M Field 26/45
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 2084P0800X Field 27/45
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 152804 Field 28/45
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: CA Field 29/45
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 30/45
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 2084P0800X Field 31/45
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: 4301060272 Field 32/45
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: MI Field 33/45
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 34/45
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 2084P0805X Field 35/45
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 3: 01070575A Field 36/45
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 3: IN Field 37/45
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 38/45
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 1295728921 Field 39/45
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 40/45
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: CA Field 41/45
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 2: 2855941 Field 42/45
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 05 Field 43/45
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: MI Field 44/45
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Sole Proprietor: N Field 45/45
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 35
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1245 W 6th St
Location 1/35Corona, CA 92882-1870 · Phone (916) 351-9400
2345 Fletcher Pkwy
Location 2/35El Cajon, CA 92020-2134 · Phone (916) 351-9400
355 W Olive Ave Ste 3
Location 3/35El Centro, CA 92243-3043 · Phone (916) 351-9400 · Fax (916) 351-9449
9381 E Stockton Blvd Ste 220
Location 4/35Elk Grove, CA 95624-5070 · Phone (916) 351-9400
15720 Ventura Blvd Ste 210
Location 5/35Encino, CA 91436-2954 · Phone (916) 351-9400
634 H St
Location 6/35Eureka, CA 95501-1053 · Phone (916) 351-9400 · Fax (916) 351-9449
622 Jackson St Unit 103
Location 7/35Fairfield, CA 94533-6195 · Phone (916) 351-9400
44240 Fremont Blvd
Location 8/35Fremont, CA 94538-6000 · Phone (916) 351-9400
4025 N Fresno St
Location 9/35Fresno, CA 93726-4026 · Phone (916) 351-9400
2955 Main St Ste 110-K
Location 10/35Irvine, CA 92614-5909 · Phone (916) 351-9400
3711 Long Beach Blvd Ste 4045
Location 11/35Long Beach, CA 90807-3320 · Phone (916) 351-9400 · Fax (916) 351-9449
414 W 21st St
Location 12/35Merced, CA 95340-3718 · Phone (916) 351-9400 · Fax (916) 351-9449
509 13th St Ste 8
Location 13/35Modesto, CA 95354-2444 · Phone (916) 351-9400
1825 N Oxnard Blvd Ste 19
Location 14/35Oxnard, CA 93030-3503 · Phone (916) 351-9400 · Fax (916) 351-9449
7365 Carnelian St Ste 222F
Location 15/35Rancho Cucamonga, CA 91730-1157 · Phone (916) 351-9400
169 Hartnell Ave Ste 110
Location 16/35Redding, CA 96002-1849 · Phone (916) 351-9400 · Fax (916) 351-9449
7177 Brockton Ave Ste 444A
Location 17/35Riverside, CA 92506-2635 · Phone (916) 351-9400
2440 Professional Dr
Location 18/35Roseville, CA 95661-7773 · Phone (916) 351-9400
2020 J St
Location 19/35Sacramento, CA 95811 · Phone (916) 341-0575 · Fax (916) 498-9040
2386 Fair Oaks Blvd
Location 20/35Sacramento, CA 95825-4741 · Phone (916) 351-9400
2062 Talbert Dr Ste 100
Location 21/35Chico, CA 95928-7718 · Phone (916) 351-9400
5441 Aldrin Ct Ste A
Location 22/35Bakersfield, CA 93313-2194 · Phone (916) 351-9400
1101 Maidu Dr
Location 23/35Auburn, CA 95603-5864 · Phone (916) 351-9400
30 E San Joaquin St Ste 203B
Location 24/35Salinas, CA 93901-2947 · Phone (916) 351-9400 · Fax (916) 351-9449
5817 RED ARROW HWY
Location 25/35STEVENSVILLE, MI 49127-1142 · Phone (269) 983-3885 · Fax (269) 983-5763
1501 W Cameron Ave Ste 300-129
Location 26/35West Covina, CA 91790-2724 · Phone (916) 351-9400
1372 N Main St Ste 206-1
Location 27/35Walnut Creek, CA 94596-4692 · Phone (916) 351-9400
2008 W Dorothea Ave Ste 203
Location 28/35Visalia, CA 93277-7300 · Phone (916) 351-9400 · Fax (916) 351-9449
2222 Pacific Ave
Location 29/35Stockton, CA 95204-5334 · Phone (916) 351-9400
55 Hitchcock Way Ste 209
Location 30/35Santa Barbara, CA 93105-5635 · Phone (916) 351-9400 · Fax (916) 351-9449
888 4th St Ste 12
Location 31/35San Rafael, CA 94901-3284 · Phone (916) 351-9400
1040 Park Ave Ste 200-A
Location 32/35San Jose, CA 95126-3075 · Phone (916) 351-9400
1254 Mission St Ste 220
Location 33/35San Francisco, CA 94103-2706 · Phone (916) 351-9400
3200 4th Ave Ste 200G
Location 34/35San Diego, CA 92103-5716 · Phone (916) 351-9400
225 W Hospitality Ln # 225201P
Location 35/35San Bernardino, CA 92408-3237 · Phone (916) 351-9400
Other Provider Identifiers 2
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
1295728921 Medicaid
Identifier 1/2State: CA
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
2855941 Medicaid
Identifier 2/2State: MI
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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