Penny L Makabenta (NPI# 1245439157, PAC ID# 2769667856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245439157 |
| PAC ID by PECOS | 2769667856 |
| Professional Enrollment ID | I20110505000427 |
| Full Name | Penny L Makabenta |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
955 W Imperial Hwy Brea CA 92821-3812 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1026 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 955 W Imperial Hwy, Brea, CA 92821-3812 | ST JOSEPH HERITAGE HEALTHCARE | |
| 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 | 7144465200 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
955 W IMPERIAL HWY |
| City | BREA |
| State | CA |
| Zip | 92821-3812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Royce L Hutain | Family Medicine | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Brea, CA 92821-3812 |
| Mark F Giglio | Family Medicine | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Suite 220, Brea, CA 92821-3812 |
| Marlene E Mires | Family Medicine | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Suite 200, Brea, CA 92821-3812 |
| Robert M Rosenberg | Dermatology | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Brea, CA 92821-3812 |
| Karen R Simpson | Dermatology | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Suite 200, Brea, CA 92821-3812 |
| Alfred O Moon | Allergy/immunology | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Brea, CA 92821-3812 |
| Michael I Reuben | Pediatric Medicine | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Brea, CA 92821-3812 |
| Angela Kim | Nurse Practitioner | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Brea, CA 92821-3812 |
| Jonathan P Anderson | Family Medicine | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Suite 110, Brea, CA 92821-3812 |
| Tobey Wu-kuo | Dermatology | St Joseph Heritage Healthcare | 955 W Imperial Hwy, Suite 200, Brea, CA 92821-3812 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Lebby | Sleep Medicine | 500 S Kraemer Blvd, Suite 240, Brea, CA 92821-1711 | |
| Christina T Velosoyap | Physical Therapy | Encore Wellness Physical Therapy Inc | 1277 W Central Ave, Brea, CA 92821-2407 |
| Nehal G Patel | Hospice/palliative Care | Palliative Care Physicians Group Inc | 875 N Brea Blvd, Kindred Brea, Brea, CA 92821-2606 |
| Chirag D Bhavsar | Family Medicine | Palliative Care Physicians Group Inc | 875 N Brea Blvd, Brea, CA 92821-2606 |
| Farhan Khabaz | Pulmonary Disease | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| John William Zamarra | Internal Medicine | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| David Scarpino | Psychiatry | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| Robert E Record | Psychologist, Clinical | 875 N Brea Blvd, Brea, CA 92821-2606 | |
| Michael Jaroslav Stastny | Podiatry | 576 Archwood Ave, Brea, CA 92821-2707 | |
| Chao-i Lin | Allergy/immunology | Allergy Partners of California, Inc | 400 W Central Ave, Suite 100, Brea, CA 92821-3007 |
| Find all physicians in zip 92821 | |||
| City | BREA |
| Zip Code | 92821 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BREA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Penny L Makabenta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.