Jennifer Pennon, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013052 Issued in CA

Practice address

850 Fair Oaks Ave
Arroyo Grande, CA 93420-3923

Phone

(805) 473-0700

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Santa Maria, CA
  • NPI 1063496651
  Medicare reassignment NPD
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Nipomo, CA
  • NPI 1417555061
  NPD
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1033752860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 100",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-473-0700",
            "fax_number": "805-473-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203923",
            "telephone_number": "805-473-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 E Clark Ave Ste 120A",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934555175",
            "country_code": "US",
            "telephone_number": "805-332-8185",
            "fax_number": "805-332-8186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493292",
            "country_code": "US",
            "telephone_number": "805-474-8450",
            "fax_number": "805-474-8454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "685 Morro Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Morro Bay",
            "state": "CA",
            "postal_code": "934422233",
            "country_code": "US",
            "telephone_number": "805-772-7313",
            "fax_number": "805-772-0395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Peach St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012871",
            "country_code": "US",
            "telephone_number": "805-543-4043",
            "fax_number": "805-543-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Posada Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654056",
            "country_code": "US",
            "telephone_number": "805-434-0900",
            "fax_number": "805-434-9260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4460 Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018064",
            "country_code": "US",
            "telephone_number": "805-597-6715",
            "fax_number": "805-541-4973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2271 S Depot St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934551216",
            "country_code": "US",
            "telephone_number": "805-922-0561",
            "fax_number": "805-922-0083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 W Central Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934362830",
            "country_code": "US",
            "telephone_number": "805-735-4292",
            "fax_number": "805-735-4293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 West Mall",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934224232",
            "country_code": "US",
            "telephone_number": "805-466-0676",
            "fax_number": "805-466-4862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5075 S Bradley Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934555077",
            "country_code": "US",
            "telephone_number": "805-332-8155",
            "fax_number": "805-332-8156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "697 W Tefft St",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934449190",
            "country_code": "US",
            "telephone_number": "805-929-2272",
            "fax_number": "805-929-1454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 Aerovista Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018725",
            "country_code": "US",
            "telephone_number": "805-541-3200",
            "fax_number": "805-541-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2238 Bayview Heights Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Los Osos",
            "state": "CA",
            "postal_code": "934023930",
            "country_code": "US",
            "telephone_number": "805-534-1305",
            "fax_number": "805-534-1346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Oak Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493409",
            "country_code": "US",
            "telephone_number": "805-481-2205",
            "fax_number": "805-481-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Peach St Ste B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012869",
            "country_code": "US",
            "telephone_number": "805-543-4043",
            "fax_number": "805-543-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S Palisade Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545948",
            "country_code": "US",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Mesa Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934446709",
            "country_code": "US",
            "telephone_number": "805-614-5640",
            "fax_number": "805-614-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1745 N Broadway Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934541940",
            "country_code": "US",
            "telephone_number": "805-739-3890",
            "fax_number": "805-347-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNON",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.