Healthcare Provider Details

I. General information

NPI: 1457280604
Provider Name (Legal Business Name): KRISTINA PADILLA, DDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 AVIARA DR STE 130
CARLSBAD CA
92011-4218
US

IV. Provider business mailing address

1000 AVIARA DR STE 130
CARLSBAD CA
92011-4218
US

V. Phone/Fax

Practice location:
  • Phone: 760-269-8830
  • Fax: 760-269-8214
Mailing address:
  • Phone: 760-269-8830
  • Fax: 760-269-8214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA PADILLA
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 760-269-8830