JUAN CARLOS PENA (NPI# 1689738189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689738189 |
| Entity Type | Individual |
| Full Name | JUAN CARLOS PENA |
| Credential | M.D. |
| Practice Address |
445 E Anaheim St Ste H Wilmington CA 90744-4600 |
| Mailing Address |
200 Oceangate Suite 100 Long Beach CA 90802-4302 |
| Practice Telephone | 3105186146 |
| Practice Fax Number | 8774691428 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 8774691428 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A79366 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00A793660 | 01 |
| CA | RAILROAD MEDICARE | P01272671/DU4032 | 01 |
| CA | 00A793660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083120968 | Juan Carlos Pena | Behavior Technician | 14346 Sw 90th St, Miami, FL 33186-8010 | 2017-12-14 |
| 1477757052 | Juan Armando Pena | Internal Medicine | Wake Forest Baptist Health Dept Ofobgyn, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-06-14 |
| 1952901050 | Juan Amando Pena Jr. | Pharmacist | 2800 W Nolana Ave, Mcallen, TX 78504-4596 | 2020-10-28 |
| 1043731854 | Juan B Pena | Social Worker | 26 Court St Ste 1009, Brooklyn, NY 11242 | 2017-06-30 |
| 1891179149 | Juan Pena | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2015-07-16 |
| 1255733523 | Juan Pena | Chiropractor | 1831 Grand Concourse, Bronx, NY 10453-6323 | 2014-09-18 |
| 1295922870 | Juan Jose Pena | Social Worker | 108 W Victoria St, Gardena, CA 90248 | 2007-09-27 |
| 1255359238 | Juan G Pena | Internal Medicine | 7383 E Tanque Verde Rd, Tucson, AZ 85715-3475 | 2006-07-17 |
| Street Address |
445 E ANAHEIM ST STE H |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437281979 | Rosalind J Williams | Physician Assistant | 445 E Anaheim St Ste H, Wilmington, CA 90744-4600 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693922 | Delcare Health Solutions, LLC | Family Medicine | 2801 Lancaster Ave Ste E, Wilmington, DE 19805-5232 | 2020-09-14 |
| 1689288730 | Web Doctors, Inc | Family Medicine | 4023 Kennett Pike # 50372, Wilmington, DE 19807-2018 | 2020-09-06 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| 1003435256 | Lindo Family Health & Wellness Care | Family Medicine | 5309 Limestone Rd Ste B, Wilmington, DE 19808-1222 | 2020-04-08 |
| 1588296784 | Cityblock Medical Practice De, P.a. | Family Medicine | 1209 N Orange St, Wilmington, DE 19801-1120 | 2020-02-06 |
| 1033776323 | Advanced Regenerative Care of Wilmington, Pllc | Family Medicine | 4421 Junction Park Dr Ste 200, Wilmington, NC 28412-2291 | 2019-05-22 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1417343609 | Home Physicians Chesapeake, PC | Family Medicine | 300 Bellevue Pkwy, Suite 101, Wilmington, DE 19809-3704 | 2015-04-14 |
| 1952705725 | Healing Hand Family Care Clinics Corp | Family Medicine | 1231 N. Avalon Blvd, Wilmington, CA 90744-2601 | 2014-10-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on JUAN CARLOS 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.