Individual provider Active NPI

Dolores Pena

  • Family Medicine Physician
  • Gonzales, CA
National Provider Identifier
1053933192
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FP2621680 Issued in CA
Practice address
850 5TH St
Gonzales, CA 93926-9491
Phone
(831) 675-3601
NPI assigned
May 12, 2020
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X FP2621680 CA Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114003209 CA Practitioner - Family Practice 8123475084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

850 5TH St
Gonzales, CA 93926-9491
Phone (831) 675-3601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Oct 2, 2023 Accepting new patients
Svmhs Clinics CurrentSince Jan 1, 2025 Accepting new patients
Salinas Valley Memorial Healthcare System Family Medicine CurrentSince Jun 18, 2024 Accepting new patients
County of Monterey Current Accepting new patients
Svmhs Clinics CurrentSince Jan 1, 2025 Accepting new patients
County of Monterey Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jun 18, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation 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

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

1441 Constitution Blvd
Bldg 400
Salinas, CA 93906
Phone (831) 755-5505

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

559 E Alisal St
Ste 201
Salinas, CA 93905
Phone (831) 769-8800

Interoperability endpoints

  • Direct secure messaging: dpena19207@direct.svmh.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1053933192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 5TH ST",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "939269491",
            "telephone_number": "831-675-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Constitution Blvd Bldg 400",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063100",
            "country_code": "US",
            "telephone_number": "831-755-4123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Abbott St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014484",
            "country_code": "US",
            "telephone_number": "831-751-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "DOLORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "FP2621680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, CA

Sources for this page

Verify at the official NPI Registry.