KIMBERLY ILIANA PADUANO
NPI 1770401580
Nurse Practitioner - Family in Santa Rosa, CA
About Kimberly Iliana Paduano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ILIANA PADUANO (NPI 1770401580) is an individual family provider in Santa Rosa, California, licensed in California (95040234) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Iliana Paduano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Paduano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95407
- Reassigned Medicare billing, California enrollment
- 215 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 95407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Paduano's NPI number?
The NPI number for Kimberly Paduano is 1770401580. It was assigned to this individual provider in the NPPES registry on July 8, 2026.
Where is Kimberly Paduano located?
Kimberly Paduano practices at 751 Lombardi Ct Ste B, Santa Rosa, CA 95407. The listed phone number is (707) 303-3600.
What is Kimberly Paduano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Paduano enrolled in Medicare?
Yes. Kimberly Paduano is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Paduano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Paduano reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, 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 Kimberly Paduano'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 Kimberly Paduano was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberly Iliana Paduano · NPI 1770401580
Family physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 8, 2026.
## Identity
- **NPI:** 1770401580 (Entity type: Individual)
- **Enumerated:** July 8, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95040234 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 LOMBARDI CT STE B, Santa Rosa, CA 95407-5454
- **Phone:** (707) 303-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Santa Rosa Community Health Centers (NPI 1386712065, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770401580) · Data from the CMS NPPES public registry.