Healthcare Provider Details

I. General information

NPI: 1326633058
Provider Name (Legal Business Name): SUZETTE PADILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 BARDIN RD
SALINAS CA
93905-2899
US

IV. Provider business mailing address

155 BARDIN RD
SALINAS CA
93905-2899
US

V. Phone/Fax

Practice location:
  • Phone: 831-753-5700
  • Fax: 831-783-3385
Mailing address:
  • Phone: 831-753-5700
  • Fax: 831-783-3385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: