GUILLERMO PADILLA M.D.
NPI 1770977696
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Guillermo Padilla's NPI number?

The NPI number for Guillermo Padilla is 1770977696. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Q: What is Guillermo Padilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Guillermo Padilla was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment

3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Guillermo Padilla M.d. NPPES

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

GUILLERMO PADILLA M.D. (NPI 1770977696) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2015).

NPPES Registry Identity

NPI1770977696

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGUILLERMO PADILLACredential: M.D.

Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5784

Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5784 · (707) 583-8800

Phone(707) 583-8800

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2015

Enumeration DateMarch 28, 2015

Last NPPES UpdateDecember 17, 2021

✔ NPI 1770977696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403

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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 and accepts Medicare assignment

Guillermo Padilla M.d. 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 ID7315315744

PECOS Enrollment IDI20221116001452

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENDALL MADDEN M.D.

Student in an Organized Health Care Education/Training Program