Healthcare Provider Details

I. General information

NPI: 1710896808
Provider Name (Legal Business Name): FRANCISCO J PADILLA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7604 PEACH AVE
HESPERIA CA
92345-7423
US

IV. Provider business mailing address

7604 PEACH AVE
HESPERIA CA
92345-7423
US

V. Phone/Fax

Practice location:
  • Phone: 909-277-0345
  • Fax:
Mailing address:
  • Phone: 909-277-0345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberFBN20260008128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: