MR. VICTOR CECILIO PADRON PA
NPI 1801317805
Physician Assistant - Medical in Peridot, AZ

Q: What is Victor Padron's NPI number?

The NPI number for Victor Padron is 1801317805. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Victor Padron's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Victor Padron was last updated on June 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2017PECOS Enrolled

103 MEDICINE WAY ROAD, PERIDOT, AZ 85542(928) 475-1400 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Victor Cecilio Padron Pa NPPES

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

MR. VICTOR CECILIO PADRON PA (NPI 1801317805) is an individual medical provider in Peridot, Arizona, licensed in Arizona (6720) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801317805

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. VICTOR CECILIO PADRONCredential: PA

Location Address103 MEDICINE WAY ROADPeridot, AZ 85542

Mailing Address16845 Nw 78th AveMiami Lakes, FL 33016-8439 · (305) 300-1212

Phone(928) 475-1400

Sole ProprietorNo

Enumeration DateJune 29, 2017

✔ NPI 1801317805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 6720

103 MEDICINE WAY ROAD, Peridot, AZ 85542

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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)

Mr. Victor Cecilio Padron Pa 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.