Richard Zhen Peng, MS, MBA, RCEP, CDE

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

322

Practice address

15060 Victory Blvd
Unit 103
Van Nuys, CA 91411-1835

Phone

(818) 426-7711

NPI assigned

Nov 28, 2007

Last updated

Dec 23, 2011By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1033391347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18311",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914168311",
            "telephone_number": "818-981-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15060 VICTORY BLVD",
            "address_2": "UNIT 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111835",
            "telephone_number": "818-426-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "RICHARD",
        "middle_name": "ZHEN",
        "name_prefix": "Mr.",
        "credential": "MS, MBA, RCEP, CDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
            "identifier": "21110333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSM",
            "identifier": "322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Antonio Pena Pinedo, MSW
• Adriana Pena
• Victor Penaloza
• Rina Leah Dulay Penaranda, PT
• Grace M Pendleton, LMFT
• Peoples Hospice Inc
• Taswaila S. Peoples
• Samantha Danielle Peralez
• Carla Vanessa Peralta, M.A
• Sarah Jane Cristal Peralta, HIGH SCHOOL DIPLOMA

• Clinical Exercise Physiologist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Exercise Physiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.