Robert A Padilla (NPI# 1538176011, PAC ID# 7113991555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1538176011 |
| PAC ID by PECOS | 7113991555 |
| Professional Enrollment ID | I20040823000603 |
| Full Name | Robert A Padilla |
| Organization Legal Name | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| Address |
1235 W Vine St Lodi CA 95240-5144 |
| Phone Number | 2093343411 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7810209715 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050336 | LODI MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1235 W Vine St, Lodi, CA 95240-5144 | 2093343411 | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2093343411 | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| Organization Legal Name | CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen C Macrae | Nurse Practitioner | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Xavier Salinas | Emergency Medicine | Clinic Services of California Medical Group Inc | 925 Corporate Cntr Pkwy A, Santa Rosa, CA 95407-5453 |
| Amy E Vu | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Shanon Star Murillo | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Darlene F Tyler | Nurse Practitioner | Clinic Services of California Medical Group Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Elizabeth T Kerlick | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Adam F Prince | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Elizabeth L Tomatsu | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| William E Defazio | Physician Assistant | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Bethany Lindstrom | Physician Assistant | Clinic Services of California Medical Group Inc | 8851 Ctr Dr, Suite 600, La Mesa, CA 91942-3061 |
| Street Address |
1235 W VINE ST |
| City | LODI |
| State | CA |
| Zip | 95240-5144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen C Macrae | Nurse Practitioner | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| William E Defazio | Physician Assistant | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Yvonne M Cabero | Nurse Practitioner | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Alexander J Nedopil | Orthopedic Surgery | Lodi Memorial Hospital Association Inc | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 |
| Brittany G Luiz | Nurse Practitioner | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Arturo N De Leon | Nurse Practitioner | Lodi Memorial Hospital Association Inc | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 |
| Levi Gore | Nurse Practitioner | Clinic Services of California Medical Group Inc | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramnik Singh Clair | Osteopathic Manipulative Medicine | 900 S Fairmont A A, Lodi, CA 95240 | |
| Kharis E Powell | Psychologist, Clinical | 12 S Hutchins St, Lodi, CA 95240-1922 | |
| Sarah A Bozeman | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
| Zachary Joseph Mertz | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
| Fatema M Ghani | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
| Michael R Oconnell | Chiropractic | 404 W Pine St, Suite 14, Lodi, CA 95240-2048 | |
| Toni F Reynolds | Chiropractic | 404 W Pine St, Suite 4, Lodi, CA 95240-2048 | |
| Heather West Leam | Chiropractic | 812 W Lodi Ave, Lodi, CA 95240-3302 | |
| Larry Od Simpfenderfer | Optometry | 1210 W Tokay St, Lodi, CA 95240-3810 | |
| Frank T Huang Jr. | Endocrinology | Adventist Health Physicians Network | 515 S Fairmont Ave, Lodi, CA 95240-3834 |
| Find all physicians in zip 95240 | |||
| City | LODI |
| Zip Code | 95240 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LODI + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.