Healthcare Provider Details

I. General information

NPI: 1770491862
Provider Name (Legal Business Name): DANIEL PADILLA JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 SAN BENANCIO RD
SALINAS CA
93908-9184
US

IV. Provider business mailing address

11 WAWONA RD
CARMEL VALLEY CA
93924-9606
US

V. Phone/Fax

Practice location:
  • Phone: 831-293-4492
  • Fax:
Mailing address:
  • Phone: 831-244-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: