CONNIE PADERA


Address: 3148 Midway Dr # 113, San Diego, CA 92110-4539
Phone: 6193630853

CONNIE PADERA (NPI# 1386107324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386107324
Entity Type Individual
Full Name CONNIE PADERA
Credential MSW, RADT
Practice Address 3148 Midway Dr # 113
San Diego
CA 92110-4539
Mailing Address 6520 Beadnell Way Apt 1t
San Diego
CA 92117-4172
Practice Telephone 6193630853
Mailing Telephone 6309355271
Enumeration Date 2019-04-08
Last Update Date 2019-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 3148 MIDWAY DR # 113
City SAN DIEGO
State CA
Zip Code 92110-4539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639702210 Samantha Jean Anthony Counselor 3148 Midway Dr # 113, San Diego, CA 92110-4539 2020-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
Find all providers in zip 92110

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910901 Eduardo Alberto Perez Counselor 8829 Dewsbury Ave, San Diego, CA 92126-2428 2020-10-21
1477166734 Laura Aida Andrade Counselor 4125 Wabash Ave, San Diego, CA 92104-2124 2020-08-26
1679113096 David Salvador Avalos Counselor 3642 Rosa Linda St, San Diego, CA 92154-3653 2020-01-14
1023651692 Robert Joseph Kassel Counselor 6551 Seaman St, San Diego, CA 92120-2629 2019-10-25
1609437979 Pamela Lynette Hill Counselor 3960 W Point Loma Blvd, San Diego, CA 92110-5643 2019-06-26
1154989838 Victoria Philips Counselor 4055 58th St Apt 10, San Diego, CA 92115-6209 2019-05-29
1740847375 Jessica Cristina Williams Counselor 1775 Elm Ave, San Diego, CA 92154-1104 2019-05-20
1659934164 Virginia Denise Mcswain Counselor 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 2019-04-19
1154891067 Vincent Garside Counselor 2516 A Sreet, San Diego, CA 92102-9210 2018-12-04
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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