Active NPI
Manuel Adam Pena, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Redding, CA
National Provider Identifier
1083567283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95038563
- Practice address
- 1201 Industrial St
Redding, CA 96002-0757 - Phone
- (530) 246-5710
- NPI assigned
- Feb 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95038563 | CA | Primary |
Addresses
Primary practice location
1201 Industrial St
Redding, CA 96002-0757
Mailing address
2976 Austin Path
Redding, CA 96002-9554
Phone (970) 260-7985
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260501001125 | CA | Practitioner - Nurse Practitioner | 1759859358 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shasta Community Health Center
Practice addresses (Care Compare)
1201 Industrial St
Redding, CA 96002-0757
Phone (530) 229-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95038563 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1114533171
CA
-
- Federally Qualified Health Center (FQHC)
- Shasta Lake, CA
- NPI 1013932797
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1356815542
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1669004123
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1710450929
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1891710638
-
- Federally Qualified Health Center (FQHC)
- Anderson, CA
- NPI 1942225719
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1952328403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1083567283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2976 AUSTIN PATH",
"city": "REDDING",
"state": "CA",
"postal_code": "960029554",
"telephone_number": "970-260-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 INDUSTRIAL ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960020757",
"telephone_number": "530-246-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "MANUEL",
"middle_name": "ADAM",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95038563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.