Sergio Estevan Pena

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

625 E Main St
Santa Paula, CA 93060-2608

Phone

(805) 525-4669

NPI assigned

Apr 5, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1083176267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15155 MARQUETTE ST UNIT C",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602608",
            "telephone_number": "805-525-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SERGIO",
        "middle_name": "ESTEVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Asuncion Pardo, LMFT
• Rosalie Navarro Patricio, M.D.
• Tarsha Patterson, MS
• Pdap of Ventura County, Inc.
• Miranda Pecsok
• Breeann Perez
• Jakelyn Madison Perez
• Raul Perez Jr.
• Silvia Olmos Perez, LCSW
• Sonia Perez, PPS

• Addiction (Substance Use Disorder) Counselor in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.