Yliana Penalosa, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012667 Issued in CA

Practice address

7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152

Phone

(657) 237-2450

NPI assigned

Jun 23, 2021

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

Interoperability endpoints

• Direct secure messaging: ms_ypenalos@landmarkhealth-direct.org

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.

• Amg, a Professional Medical Corporation

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1558306266
  Medicare reassignment NPD
• Metropolitan Ipa

  • Home Health Agency
  • Anaheim, CA
  • NPI 1417208141
  Medicare reassignment NPD
• Prospect Foothill Urgent Care

  • Urgent Care Clinic/Center
  • Tustin, CA
  • NPI 1366834756
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1053980052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 W MONTECITO WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031263",
            "telephone_number": "619-254-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152",
            "telephone_number": "657-237-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "587 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105619",
            "country_code": "US",
            "telephone_number": "619-382-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENALOSA",
        "first_name": "YLIANA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Craig Pelletier, D.D.S.
• Karissa Pelman
• Brian David Pena
• Lorenzo V Pena, PPS
• Melinda Pena
• Michelle Pendergast
• Penera Podiatry Corporation
• Rebecca Ann Penera, DPM
• Peninsula Professional Services
• Stacy Pensinger

• Family Nurse Practitioner in Huntington Beach, CA
• Providers in Huntington Beach, 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 Apr 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.