Henry Peng, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A95408 Issued in CA

Practice address

624 W Duarte Rd
Suite 102
Arcadia, CA 91007-7603

Phone

(626) 254-9540

Fax

(626) 294-2996

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Sports Medicine

Education

Boston University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pathways Healthcare IncGroup PAC ID 3173623295, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBICAA/Endpoint/FBICAA

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.

• Pathways Healthcare, Inc.

  • Family Medicine Physician
  • Arcadia, CA
  • NPI 1841358942
  Medicare reassignment Care Compare group
• Dignity Community Care

  dba Methodist Hospital of Sacramento

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599
  NPD (past)
• Usc Arcadia Hospital

  • Rehabilitation Hospital Unit
  • Arcadia, CA
  • NPI 1164410593
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1144378167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "SUITE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-254-9540",
            "fax_number": "626-294-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "SUITE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-254-9540",
            "fax_number": "626-294-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95408",
            "primary": true
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "CA",
            "license": "A95408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A95408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Pedroza
• Bengt Florian Pehrsson, MD
• Justin Pel
• Lauren Pena, AMFT
• Cecilia Cristina Penailillo, LMFT
• Qiuzi Peng, PTA
• Destiny Perea
• Michael G Perera, M.D.
• Bridget Marie Perez
• Denise Perez

• Family Medicine Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.

Verify at the official NPI Registry.