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Luis Alonso Padilla

Adult Companion

Nursing Service Related Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Luis Alonso Padilla does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1952433161
Provider Type
Individual
Full Name
Padilla, Luis Alonso
Gender
Male

Sole Proprietor
No
Enumeration Date
3/12/2007
Last Updated
5/13/2025

Contact Information

Practice Location

421 E. Morris Av., Modesto, CA 95354

(209) 247-9466

Unlisted Fax

Mailing Location

115 S Beech St, Turlock, CA 95380-5202

(209) 247-9466

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 372600000X Primary	Description Adult Companion Nursing Service Related Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Luis Alonso Padilla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Flores, Jocelle

Rodriguez, Roberto Carlos

Quintana, Johniece R

Tearney, Heather Chrisine

Mattos, Aliesha Angelina

Garcia, Sophia

Coleman, Sineathia

Fernandez, Angelica

Kirkpatrick, David Andrew

Stanfield, Mariah