Dolores Pena
Individual provider Active NPI Family Medicine Physician · Gonzales, CA
NPI 1053933192 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1053933192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- FP2621680 (CA)
- Practice address
- 850 5TH St
Gonzales, CA 93926-9491 - Phone
- (831) 675-3601
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salinas Valley Memorial Healthcare System
Practice addresses (Care Compare)
850 5TH St
Gonzales, CA 93926-9491
Phone (831) 675-3601
Hospital & facility affiliations
- Central Coast Vna & Hospice, Inc
- Bridge Home Health
- Salinas Valley Health Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231114003209 | CA | Practitioner - Family Practice | 8123475084 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey Behavioral Health | Current |
Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| County of Monterey | Family Medicine | Current |
Accepting new patients |
| Salinas Valley Memorial Healthcare System | Current |
Accepting new patients | |
| Svmhs Clinics | Current |
Accepting new patients | |
| Salinas Valley Memorial Healthcare System | Family Medicine | Current |
Accepting new patients |
| Svmhs Clinics | Current |
Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients | |
| Salinas Valley Hospitalist Medical Group, Inc | Past | Accepting new patients |
Locations
850 5th St
Gonzales, CA 93926
Phone (831) 657-3601
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
Dept LA 24403
Pasadena, CA 91185
559 E Alisal St
Ste 201
Salinas, CA 93905
Phone (831) 769-8800
1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866
355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070
1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640
1441 Constitution Blvd
Bldg 400
Salinas, CA 93906
Phone (831) 204-7411
Interoperability endpoints
- dpena19207@direct.svmh.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FP2621680 | CA | Yes |
Addresses
Primary practice location
850 5TH St
Gonzales, CA 93926-9491
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8301
Other practice location 1
1441 Constitution Blvd Bldg 400
Salinas, CA 93906-3100
Phone (831) 755-4123
Other practice location 2
355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone (831) 751-7070
Other providers in Gonzales, CA
- Christina Mares
- Mariposa Healing Place Corp
- Mariposa Healing Place, LLC
- Alberto Martinez
- Ocean Breeze Home Health Inc
- Cristina D Perez
- David Leon Perez
- Roger D Pittman
- Alison Poandl
- Christine C Ponzio
All providers in Gonzales, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.