Healthcare Provider Details

I. General information

NPI: 1558373183
Provider Name (Legal Business Name): DARLINE KAREN PADILLA F.N.P-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13010 HESPERIA RD STE 400
VICTORVILLE CA
92395-8315
US

IV. Provider business mailing address

19111 TOWN CENTER DR
APPLE VALLEY CA
92308-8989
US

V. Phone/Fax

Practice location:
  • Phone: 760-242-9355
  • Fax:
Mailing address:
  • Phone: 760-242-7777
  • Fax: 760-946-4740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: