Active NPI
Raymond J Pena, M.D.
- Family Medicine Physician
- Reedley, CA
National Provider Identifier
1003836974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A61340
- Practice address
- 1415 N Acacia Ave
Suite 101
Reedley, CA 93654-2449 - Phone
- (559) 638-8187
- Fax
- (559) 638-3883
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A61340 | CA | Primary |
Addresses
Primary practice location
1415 N Acacia Ave
Suite 101
Reedley, CA 93654-2449
Mailing address
1415 N Acacia Ave
Suite 101
Reedley, CA 93654-2449
Phone (559) 638-8187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Pennsylvania, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Main St
Soledad, CA 93960-2533
Phone (831) 678-2665
Hospital & facility affiliations
- Central Coast Vna & Hospice, Inc
- Salinas Valley Health Medical Center
- Southern Monterey County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61340 | CA | MD | Pharmacist |
| A61340 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soledad Community Health Care District | Family Medicine | Current | Accepting new patients |
| Eden Valley Care Center | Current | Accepting new patients |
Locations
600 Main St
Soledad, CA 93960
Phone (831) 678-2665
Interoperability endpoints
- https://api.platform.athenahealth.com/23190/brand/1/csg/1/fhir/r4
- raymond.pena.1@23190.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Soledad, CA
- NPI 1003822453
Family Medicine
-
- Skilled Nursing Facility
- Soledad, CA
- NPI 1669594867
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monterey, CA
- NPI 1093718884
-
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1003836974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 N ACACIA AVE",
"address_2": "SUITE 101",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936542449",
"telephone_number": "559-638-8187",
"fax_number": "559-638-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N ACACIA AVE",
"address_2": "SUITE 101",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936542449",
"telephone_number": "559-638-8187",
"fax_number": "559-638-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "RAYMOND",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A61340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reedley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.