Dawn Rene Pennepacker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

935 W San Marcos Blvd Ste 103
San Marcos, CA 92078-1142

Phone

(760) 471-3705

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1124503610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N EL CAMINO REAL SPC 317",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920580821",
            "telephone_number": "760-696-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 W SAN MARCOS BLVD STE 103",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781142",
            "telephone_number": "760-471-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEPACKER",
        "first_name": "DAWN",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Marjorie Peddie-Musser, LMFT
• Andrea Pedroza
• Zala Peimbert
• Glenda Pena
• Stephanie Pena
• Teresa Penner
• Isela Penunuri, MD
• Jocelyn Peralez
• Joan Pereira, DDS
• Claudia Perez Ascencio Morales

• Case Manager/Care Coordinator in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.