Penguin Medical Group, Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PENGUIN MEDICAL GROUP, INC

Practice address

11 W del Mar Blvd Ste 201
Pasadena, CA 91105-2593

Phone

(818) 395-0455

Fax

(626) 744-0987

NPI assigned

Nov 13, 2018

Last updated

Nov 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad A Kamal, M.D.NPI 1811170400

Title

President

Phone

(818) 395-0455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad A. Kamal, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
  • NPI 1811170400
  NPD Authorized official

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1144799750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W DEL MAR BLVD STE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052593",
            "telephone_number": "818-395-0455",
            "fax_number": "626-744-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W DEL MAR BLVD STE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052593",
            "telephone_number": "818-395-0455",
            "fax_number": "626-744-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENGUIN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-395-0455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Pena
• Miranda Penaloza Martin
• Kevin H Penate Escobar
• Mirna Christina Penate, IMFT
• Lynda Rattanacommon Peng, PT
• Markesiha Penn-Kaai, MA, BCBA
• Clifford Penner, PHD
• Brian Pentecost
• Peoples Medical Care Inc
• Noah Peralta

• Anatomic Pathology & Clinical Pathology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.