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NPI Code Detail

MEDICARE: THOMAS MARTIN PADERNA

MEDICARE: THOMAS MARTIN PADERNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSB94025704CA

General Provider Information

NPI Number : 1336617281
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS MARTIN PADERNA
Provider Business Mailing Address
First Line : 4053 HILLSWOOD DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-2861
Country : US
Telephone Number : 650-654-4565
Fax Number :
Provider Business Practice Location Address
First Line : 2617 K ST STE 125
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5133
Country : US
Telephone Number : 916-238-8796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2018
Last Update Date : 01/24/2026

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Directions to “ THOMAS MARTIN PADERNA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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