Sophia Chun Ling Peng, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

101160 Issued in CA

Practice address

18351 Colima Rd # 899
Rowland Heights, CA 91748-2791

Phone

(626) 715-3072

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: speng4103237@oc.providencedirect.org

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1073053955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18351 COLIMA RD # 899",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482791",
            "telephone_number": "626-715-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 COLIMA RD # 899",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482791",
            "telephone_number": "626-715-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "SOPHIA",
        "middle_name": "CHUN LING",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris J Park, DPM
• David H Park, D.D.S.
• Vanessa Parra
• Michael Penarete
• Leila Mae Penasales, FNP-C
• Steve Penn, O.D.
• Michael Perez Jr
• Christian Perez
• Eduardo Perez
• Haleigh Martin Perez, PHARMD, RPH

• Dentist in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.