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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Guillermo Padilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
36 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
KATHLEEN MARIE BEARDSWORTH MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
BIANKA J AGUILAR MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8806
NAVPREET SIDHU
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
QUETZAL MORENO DO
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
GENEVRA MAGLIOCCO MD
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
YADIRA RAYA-CERVANTES MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
DR. LILY DEVRIES MORRISON MD, MPH
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800

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 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.

Where is Guillermo Padilla located?

Guillermo Padilla practices at 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 583-8800.

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.

Is Guillermo Padilla enrolled in Medicare?

Yes. Guillermo Padilla 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 organization bills Medicare for Guillermo Padilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Padilla reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Guillermo Padilla'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 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.