VINCENT-RAY PADILLA TEJADA JR. NP-C
NPI 1639935968
Nurse Practitioner - Family in Concord, CA

Active since February 23, 2024PECOS EnrolledAccepts Medicare Assignment
3025 JUSTIN WAY, CONCORD, CA 94520(805) 588-4834 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vincent-ray Padilla Tejada Jr. Np-c NPPES

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

VINCENT-RAY PADILLA TEJADA JR. NP-C (NPI 1639935968) is an individual family provider in Concord, California, licensed in California (95029186) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639935968
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameVINCENT-RAY PADILLA TEJADA JR.Credential: NP-C
Location Address3025 JUSTIN WAYConcord, CA 94520-1616
Mailing Address3025 Justin WayConcord, CA 94520-1616
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
NPI 1639935968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95029186
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 95248661 (CA)
3025 JUSTIN WAY, Concord, CA 94520

Other Names 1

Other Name (5)Vince Tejada

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

Vincent-ray Padilla Tejada Jr. Np-c 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 ID345760856
PECOS Enrollment IDI20250226003118
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Vincent-ray Tejada's NPI number?

The NPI number for Vincent-ray Tejada is 1639935968. It was assigned to this individual provider in the NPPES registry on February 23, 2024. The provider is also known as Vince Tejada.

Where is Vincent-ray Tejada located?

Vincent-ray Tejada practices at 3025 Justin Way, Concord, CA 94520. The listed phone number is (805) 588-4834.

What is Vincent-ray Tejada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vincent-ray Tejada enrolled in Medicare?

Yes. Vincent-ray Tejada 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.

When was this NPI record last updated?

The NPPES record for Vincent-ray Tejada was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.