SERGIO ESTEVAN PENA (NPI# 1083176267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083176267 |
| Entity Type | Individual |
| Full Name | SERGIO ESTEVAN PENA |
| Practice Address |
625 E Main St Santa Paula CA 93060-2608 |
| Mailing Address |
15155 Marquette St Unit C Moorpark CA 93021-2517 |
| Practice Telephone | 8055254669 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336939 | Sergio Pena | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-09-30 |
| Street Address |
625 E MAIN ST |
| City | SANTA PAULA |
| State | CA |
| Zip Code | 93060-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029995 | Melissa Ann Toyooka | Licensed Vocational Nurse | 625 E Main St, Santa Paula, CA 93060-2608 | 2019-12-06 |
| 1346887577 | Arlene Perez | Licensed Vocational Nurse | 625 E Main St, Santa Paula, CA 93060-2608 | 2019-12-06 |
| 1346701786 | Kathy Diane Campanaro | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2019-03-28 |
| 1528560109 | Christian Magana | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2018-02-28 |
| 1811404478 | Kylie Taylor Keyser | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2018-01-04 |
| 1437523198 | Jonathan Goodban | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-11-18 |
| 1124492889 | Jennifer Miles | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-11-18 |
| 1881066645 | Christina Arroyo | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-10-20 |
| 1992196620 | Helaine Bardi | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-02-17 |
| 1528458205 | Rebecca Gordon | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460912 | Reward Path Recovery, LLC | Clinic/Center | 525 E. Main St, Santa Paula, CA 93060 | 2018-06-11 |
| 1427305994 | Preetinder Narang | Behavioral Analyst | 216 N 8th Street, Santa Paula, CA 93060 | 2012-08-14 |
| 1346476595 | Rosalia Lopez Castillo | Adult Companion | 227 S. Palm Ave, Santa Paula, CA 93060 | 2009-06-02 |
| 1295936870 | Renee S Lim | Dentist | 125 E Harvard Blvd, #e, Santa Paula, CA 93060 | 2007-05-30 |
| 1225240120 | Richard S. Yoon, Dmd, Inc. | Dentist | 957 Faulkner Rd #104, Santa Paula, CA 93060 | 2007-05-04 |
| 1982723755 | Elizabeth Humphrey | Counselor | 951 East Main St., Santa Paula, CA 93060 | 2007-03-29 |
| 1639298979 | Shelly Brizuela | Marriage & Family Therapist | 951 East Main St, Santa Paula, CA 93060 | 2007-03-28 |
| 1629101472 | Norma J Emery | Registered Nurse | 1360 Say Rd, Santa Paula, CA 93060 | 2007-03-13 |
| 1518021575 | Mark N Sussman | Anesthesiology | 825 North 10th Street, Santa Paula, CA 93060 | 2006-12-21 |
| 1831251735 | Jon L. Schrock | Family Medicine | 845 N.10th St. Ste 1, Santa Paula, CA 93060 | 2006-12-15 |
| Find all providers in zip 93060 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003057480 | Elizabeth Lopez | Counselor | 218 N 8th St Apt 32, Santa Paula, CA 93060-2144 | 2009-03-16 |
| 1346701786 | Kathy Diane Campanaro | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2019-03-28 |
| 1528560109 | Christian Magana | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2018-02-28 |
| 1811404478 | Kylie Taylor Keyser | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2018-01-04 |
| 1437523198 | Jonathan Goodban | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-11-18 |
| 1124492889 | Jennifer Miles | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-11-18 |
| 1881066645 | Christina Arroyo | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-10-20 |
| 1992196620 | Helaine Bardi | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-02-17 |
| 1528458205 | Rebecca Gordon | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-02-02 |
| 1265841118 | Teresa Ellain Hernandez | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2014-08-05 |
| Find all providers in SANTA PAULA | ||||
| City | SANTA PAULA |
| Zip Code | 93060 |
Please comment or provide details below to improve the information on SERGIO ESTEVAN PENA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.