VINCENT-RAY PADILLA TEJADA JR. NP-C
NPI 1639935968
Nurse Practitioner - Family in Concord, CA
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
Specialties & Licenses 2
Other Names 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Vincent-ray Tejada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calabasas, CA 91302
- Reassigned Medicare billing, California enrollment
- 256 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 74 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.
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.
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.
Which organizations bill Medicare for Vincent-ray Tejada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vincent-ray Tejada reassigns Medicare benefits to 2 organizations: Exer Medical Corporation (Calabasas, CA) and Hollywood Presbyterian Emergency Medical Associates, Inc. (Los Angeles, CA). Each 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 Vincent-ray Tejada'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 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.
# Vincent-Ray Padilla Tejada Jr., NP-C · NPI 1639935968
Family physician in Concord, California. Individual provider, active in the CMS NPPES registry since February 23, 2024.
## Identity
- **NPI:** 1639935968 (Entity type: Individual)
- **Enumerated:** February 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95029186 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3025 JUSTIN WAY, Concord, CA 94520-1616
- **Phone:** (805) 588-4834
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Exer Medical Corporation (NPI 1588901532, Calabasas, CA); Hollywood Presbyterian Emergency Medical Associates, Inc. (NPI 1972826931, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639935968) · Data from the CMS NPPES public registry.