Healthcare Provider Details

I. General information

NPI: 1275166050
Provider Name (Legal Business Name): CHRISTOPHER PADHI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 ZINFANDEL DR STE 120
RANCHO CORDOVA CA
95670-6396
US

IV. Provider business mailing address

26 WORCESTER ST APT 206
BOSTON MA
02118-3376
US

V. Phone/Fax

Practice location:
  • Phone: 916-638-8099
  • Fax:
Mailing address:
  • Phone: 805-630-6834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number108608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: