Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIMBERLY ILIANA PADUANO
NPI 1770401580
Nurse Practitioner - Family in Santa Rosa, CA

Q: 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.

Q: What is Kimberly Paduano's specialty?

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

Q: 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 50 days 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.

Active since July 08, 2026PECOS Enrolled

751 LOMBARDI CT STE B, SANTA ROSA, CA 95407(707) 303-3600 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 16, 2026, Jul 8, 2026 (2 updates tracked since 2026).

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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.

NPPES Registry Identity

NPI1770401580

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY ILIANA PADUANO

Location Address751 LOMBARDI CT STE BSanta Rosa, CA 95407-5454

Mailing Address751 Lombardi Ct Ste BSanta Rosa, CA 95407-5454 · (805) 552-6704

Phone(707) 303-3600

Sole ProprietorNo

Enumeration DateJuly 8, 2026

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1770401580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95040234

751 LOMBARDI CT STE B, Santa Rosa, CA 95407

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Iliana Paduano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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.

ROSALBA MARITZA ACOSTA NP

Nurse Practitioner (Family)