Healthcare Provider Details

I. General information

NPI: 1679480198
Provider Name (Legal Business Name): CATHY PADELFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 EL CAMINO REAL STE 101
BURLINGAME CA
94010-3210
US

IV. Provider business mailing address

1750 EL CAMINO REAL STE 101
BURLINGAME CA
94010-3210
US

V. Phone/Fax

Practice location:
  • Phone: 650-692-1686
  • Fax: 650-692-0859
Mailing address:
  • Phone: 650-692-1686
  • Fax: 650-692-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: