Hai En Peng, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4368 Issued in CA

Practice address

2460 N Ponderosa Dr
Ste A105
Camarillo, CA 93010-2375

Phone

(805) 482-0711

Fax

(805) 482-6524

NPI assigned

Sep 18, 2007

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drpeng@hpengdpm.officeally.direct

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Align Foot and Ankle Center Inc a

  • Foot & Ankle Surgery Podiatrist
  • Camarillo, CA
  • NPI 1073044236
  Medicare reassignment NPD
• Align Foot and Ankle Center Inc a

  • Foot & Ankle Surgery Podiatrist
  • Santa Barbara, CA
  • NPI 1275131856
  NPD
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1033163019
  NPD (past)
• Community Memorial Hospital District

  dba Community Health Services

  • Home Health Agency
  • Syracuse, NE
  • NPI 1578571329
  NPD (past)
• Point Pleasant Physician Billing Services

  • Multi-Specialty Clinic/Center
  • PT Pleasant, WV
  • NPI 1396798898
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba St. John's Regional Medical Center

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1033305677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N PONDEROSA DR",
            "address_2": "STE A105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102375",
            "telephone_number": "805-482-0711",
            "fax_number": "805-482-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N PONDEROSA DR",
            "address_2": "STE A105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102375",
            "telephone_number": "805-482-0711",
            "fax_number": "805-482-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 E Arrellaga St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012502",
            "country_code": "US",
            "telephone_number": "805-965-1515",
            "fax_number": "805-482-6524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG",
        "first_name": "HAI",
        "middle_name": "EN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyla Saray Pena-Salcedo
• Ashley Pena, PT, DPT
• Cindy D Pena
• Jairo Pena
• Brian Scott Pendleberry, LPT
• Jeremiah Penny
• Carlos Humberto Peralta Jr.
• Danette Percle, LVN
• Danelle Estrada Perey, LVN
• Esequiel Perez Carmona

• Foot & Ankle Surgery Podiatrist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.